Facility Evaluation Report

On 12/10/2024 at 2:15 PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Case Management visit regarding an incident report received on 12/10/2024. LPA met with Administrator, Lorna Hayag and explained the purpose of the visit.

Based on the incident report received on 12/10/2024, staff checked on clients at 12:30AM on 12/9/2024 and noticed that client (C1) was not in bed. Another staff (S2) stated that C1 has been in the bathroom for about 10 minutes and another client needed to use the bathroom. Staff (S1) knocked on the door without a response and later used a key to open the bathroom door. C1 was not in the bathroom and staff noticed the side gate was open. Staff (S3) drove around the neighborhood to look for C1. Later, C1 came back to the facility.

After reviewing C1's physician's report dated 8/19/2024, it states that C1 is unable to leave the facility unassisted.

No deficiencies are being cited on this date.

Exit interview conducted. A copy of this report provided.