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25 | On 12/11/23 at 10:00 AM, Licensing Program Analysts (LPAs) Pamela Silva and Gilbert Gutierrez conducted an unannounced case management inspection at the above facility and met with Deshay Peterson, Mental Health Rehabilitation Specialist. The purpose of the inspection is to follow up on the facility's removal or discharge protocol in the discharge of client C1 (refer to Confidential Names List LIC811 dated 12/11/23).
The incident indicated that client C1’s placement was terminated after police removed her from the facility due to concerns for the safety of other clients in the facility. During a telephone interview, the Administrator stated that C1’s placement was terminated and that C1 did not return to the facility due to the 14-day notice to remove C1 expired the day prior to police removing her from the facility. The facility filed a 14-day notice to remove C1, agreed upon a Child and Family Team (CFT) meeting on 09/15/23. A review of the facility’s Program Statement indicated that the facility followed their removal/discharge protocol regarding C1’s removal. In a telephone interview with C1’s county social worker (CSW) on 10/18/23, CSW confirmed that there were CFT meetings held prior to the facility’s filing of a 14-day notice to remove C1.
Based on the facility following the proper removal/discharge protocol for C1, no further follow up is needed.
An exit interview was conducted. There were no deficiency citations issued during today’s inspection. A copy of this report was provided to the facility representative.
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