Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo conducted an unannounced case management visit at 1:20 p.m. The purpose of this visit is to conclude an investigation regarding an incident that occurred on 04/30/2024. Upon arrival, LPA met with Program Manager, Jesus Cardenas and the reason for the visit was explained. Entrance Interview.

On 05/02/2024, the Department received an incident report stating that on 04/30/2024, Individual #1 (I1) told I1’s father that Staff #1 (S1) told I1 to,” shut up and be quiet and listen to me read you the bible”. According to I1’s father, I1 stated that I1 does not feel comfortable speaking up, so I1’s father brought it up to the Program Supervisor on 05/01/2024.

During the initial visit on 05/10/2024, LPA Arroyo conducted interviews with three (3) staff members and one (1) individual between 1:10 p.m. and 1:45 p.m., conducted a resident file review at 1:55 p.m., and obtained copies of pertinent documents. On 06/21/2024, LPA Arroyo conducted a telephonic interview with a staff member at 3:08 p.m.

Interviews conducted with staff revealed that I1 and S1 had not been working together at the day program for too long. Staff stated that lately the rotation between I1 and S1 was not constant as they were trying to find a staff that worked well with I1. Regarding the incident, interviews conducted with staff revealed that S1 worked well with the individuals that S1 was assigned to while they worked together. Staff added that S1 was consistent with all individuals and did not show favoritism, which is what is thought to be the reason I1 may have made the comment to their responsible person. Interviews also revealed that I1 did not seem “happy” while working together with S1.