Facility Evaluation Report

At 11:30 a.m. on this day, July 2, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a case management in response to the Special Incident Report (SIR) for resident (R1) submitted by the facility. No one was at the facility when LPA arrived. LPA called and spoke over the phone with Laura Carter, administrator, and informed the reason for visit. Administrator arrived after about 13 minutes.

LPA obtained and reviewed R1's LIC602 Physician's Report, Individual Program Plan and LIC625 Appraisal/Needs and Services Plan

SIR indicated that on 6/05/24 at approximately 5:00 p.m., the house manager (S1) received a phone call from R1's day program saying R1 just arrived and that R1's missed the bus in the morning and walked to the day program. R1 looked exhausted and R1's arms, face/neck were sunburned. Upon returning to the facility, staff noticed R1's ankles and legs sunburned and has blisters under his toes. S1 contacted the transportation company and was told they called 5 times to say they were at the house waiting for R1. S1 checked his phone and saw only 1 call from the transportation company.

LPA conducted interview. Administrator confirmed R1 sustained blisters and the blisters are now healed. Administrator stated S1 was off on the day of the incident and it was staff (S2 and S3) who were on duty that day.

Review of R1's LIC602 revealed R1 can not leave the facility unassisted.