Facility Evaluation Report

04/10/2025 09:00 AM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with administrator Anna Castillo-Virgen. Today’s visit is regarding an incident report that was received by licensing on 04/02/2025.

It was reported that on 3/15/2025 at approximately 12:00 PM Staff 1 (S1) was working with Client 1 (C1) in the dining room at the dining table. C1 was very antsy and would frequently get up and down out of the chair to walk and pace. S1 would redirect C1 back to their chair to prevent a fall and work closely with C1utilizing a gait belt for support. Staff 2 (S2) claims they heard S1 speaking roughly to C1.

This incident needs further investigation.

No deficiencies were cited as a result of today’s visit. Exit interview conducted and a copy of the report was provided to with administrators Casie Foster, Anna Castillo-Virgen and licensee Tamra Leak.