Incident investigation·May 6, 2025

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced case management incident visit to the facility. LPA met with Antonela Molito, Program Manager, Jennifer Farley, Program Director, and Monica Gomez, Clinical Case Manager and explained the purpose of the visit. Stephanie Cole and Adela Cortinas, Quality Assurance Specialists, Tri-Counties Regional Center accompanied LPA during the visit. During today’s visit, LPA obtained documents pertaining to the investigation and conducted in-person interviews. On 4/18/2025 and 4/19/2025, CCL received incident reports (SIR) from the facility for R1. According to the SIRs, R1 made inappropriate comments to staff, but stated they were “joking.” An addendum to the SIR sent 4/23/2025 stated R1 was interviewed on two separate occasions by staff. R1 stated they did not have any inappropriate interactions with staff, and it was supposed to be a joke. Per the SIRs, R1 has a history of making inappropriate comments to staff. On 5/2/2025, QAS Cole and Cortinas and Gomez, Clinical Case Manager interviewed R1. After the interview with QAS TCRC representatives, R1 stated to Gomez that R1 did not have inappropriate interactions with staff and the stories were “made up”. No deficiencies were issued during this visit. The LPA may return at a later date if it is determined deficiencies are warranted. Exit interview conducted. Copy of report issued at the time of the visit.