Facility Evaluation Report

On 12/28/23, Licensing Program Analyst (LPA) Renee Campbell arrived at the facility to conduct a case management visit at approximately 10 am. LPA Campbell met with Jessica Villasenor, Program Team Lead and explained the purpose of the visit.

As a result of an incident report received 12/20/23, LPA Campbell requested and observed the contact information for the staff involved in the incident. A resident roster, and the file for R1 and R1’s intervention plan was provided as well. LPA Campbell interviewed other residents in the facility and found that two had been consistently harassed by R1.

Over the course of the visit, LPA Campbell learned R1 has continually struck out at staff and been sexually inappropriate with other residents. Although a Safety Plan has been put in place, it is not affective. As a result, the Program Team Lead will request a meeting with R1’s Service Coordinator and the Administrative Coordinator to discuss and put in place new/affective or increased interventions that will ensure other residents’ safety.

An exit review was conducted and a report provided.