Facility Evaluation Report

On 12/30/2024 at 1:15pm Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Jazrael Pascual, House Manager and explained the purpose of the visit.

While LPA L. Hall was conducting a complaint investigation 15-AS-20241221181547 on 12/30/2024, it was stated R1 had eloped from the facility. LPA toured the first level of the facility, obtained R1's physician's report (LIC602), appraisal needs and services plan, and identification and emergency information.

LPA observed the following deficiencies during the visit.

LPA observed during interview R1 had eloped.

LPA observed during record review the elopement incident that occurred on 12/152024, had not been reported.

LPA observed R1 did not have an current annual physician's report or appraisal needs and services plan.

LPA observed during record review facility did not have a permit for the alterations of the facility.

LPA observed plan the area called the solarium is blocked with a couch, 2 refrigerators, clothing, and other items.