As documented in prior on the 7/29/24, R1 has exhibited aggression, destruction of property and poses a danger to residents and staff. On 08/05/24, an Interdisciplinary Team meeting was held and included the facility administrator, R1’s parents/conservators, R1’s service coordinator and staff from R1’s day program. During the meeting it was decided that: VMRC will be asked to reassess R1. The facility will ask parents to adjust medication and when there is a 5150 issued, the facility will submit a notice of eviction due to R1 being a danger to himself and others.

Per the administrator, the facility was unable to speak to R1’s psychiatrist and the parents/conservators were not cooperative. Only the parents could communicate with either R1’s psychiatrist or medical doctor and only the parents could take him for doctor visits. R1 was taking Risperidon 3.5 in the morning and evening and was only allowed Ativan 0.5 as a PRN once a week after receiving permission from R1’s parents, regardless of his behavior. VMRC was asked to do an evaluation and work with R1’s current psychiatrist to make possible medication changes but no changes were made.

LPA Campbell reviewed the incident reports from R1’s behavioral outbursts and discussed R1’scurrent status. Per the Administrator, R1 has now had 2 or 3 additional incidents of hitting the three other clients and biting their roommate. Staff have been able to redirect R1. When possible, staff try to separate R1 by serving him meals earlier or later or letting him eat at another table. R1 also responds positively when given water as a way to calm down.

The service coordinator has stated that they plan to remove R1 by 09/28/24 but 5 facilities have refused to take R1. The one facility that planned to assess R1 in place, more than a week ago, never made an appointment with R1’s current facility at Sheltering Arms. Per the administrator, the facility will continue to provide the needed care for R1 if no facility is found after 09/28/24.