Incident investigation·April 28, 2023

Licensing Program Analyst (LPA) Claudia Gutierrez conducted an unannounced case management visit to follow up on an incident report submitted on 04/25/2023 to the Department. LPA met with Executive Director (ED) Johanna Gonzalez and explained the purpose of the visit. Incident report dated 04/25/2023 indicate that on 04/25/2023 at approximately 11:00 a.m., Resident 1 (R1) reported that a former employee was having sexual relations with other female residents. ED stated that employee had resigned on 02/09/2023 to join the Coast Guard and that no other resident had report any such incident. LPA interviewed R1 privately in their bedroom to gather their account of the incident. R1 stated that the former employee had not had sexual relations with them or any other resident that they are aware of. R1 stated former employee had “great customer service” and stated they would be “comfortable” employing them in their own home. LPA interview six additional residents. Six out of six residents were unable to corroborate the incident and stated they have not witnessed nor heard of any such incident taking place. LPA also interviewed three staff. Three out of three staff were also unable to corroborate the incident and stated they have not witnessed nor heard of any such incident taking place. R1 met with Primary Care Physician (PCP) on today’s date at approximately 10:00 a.m. LPA was provided with a current copy of Physician Report (LIC602) dated today’s date and R1’s Psych Evaluation dated 4/16/2023. No citations noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility.