Facility Evaluation Report

Licensing Program Analyst (LPA), Martha Arroyo along with Tri-Counties Regional Center Quality Assurance Specialist (QAS), Liz Aced-Arnett conducted an unannounced case management – incident visit to the above facility. The purpose of today’s visit is to continue the investigation of a self-reported incident submitted to the department on 10/04/2024. LPA and QAS met with staff, Cami Hershkovitz and the reason for the visit was explained. Entrance interview.

The written incident report contained information regarding an incident from 10/03/2024 involving Resident #1 (R1), Resident #2 (R2), and Resident #3 (3) where R1 had a confrontation with R2 over a missing lock from a bathroom they both share, and over candy that R1 was accused of stealing and consuming that belong to all the residents to share. R1 was found to have lied about eating the candy when the candy wrappers were visible in R1’s trash that was near R1’s bedroom door, causing anger amongst the other residents, as R1 has a history of taking others property. R2 did proceed in a bully technique determined to get R1 to admit the taking of the lock and then teased R1 with the other residents of them eating gum portraying how sharing should look like. This ended up with R1 taking the 1 st aggression by grabbing R2’s hair tightly and kicking R2 in the stomach bringing R2 to the floor, R3 was screaming and crying and sat on the floor to console R2 when R1 ran up and kicked R3 in the stomach. R1 then straddled R2 and began fist punching R2 in the head, ears, and neck areas, ripping off R2’s necklace leaving marks on R2’s ear and neck. Staff #1 (S1) attempted to part them while they were on the floor but was unable to. Staff #2 (S2) heard the screams from outside where S2 was at the moment, ran in and used their body with hands in the air parting them and was successful. S2 walked backwards directing R1 back to R1’s room away from the incident and requested R1 go their room to calm down.