Facility Evaluation Report

On 04/17/2023 at around 10:00AM, Licensing Program Analyst (LPA) L. Ibo arrived at the facility unannounced to conduct case management related to self reported incident report received 04/10/2023. C1 left the facility unattended. LPA met staff on duty S1. LPA called Administrator William Tucker and backup Administrator Maureen Lee; LPA informed them the purpose of visit. At around 10:38AM Administrator William T. and backup Administration Maureen L. arrived at the facility.

Backup Administrator self- reported that on 4/10/2023 at around noon client (C1) AWOL’d through the front door. Staff looked around the facility and could not locate C1. Based on interview with staff, C1 was found after couple of minutes at the corner of the street, C1 was assessed and found no injuries noted.

Based on interview and records review C1 cannot leave the facility unassisted and is under staff one-on-one care.

Deficiencies are cited from Title 22 California Code of Regulations (see 809Ds). Failure to submit proof of corrections (POCs) by plan or correction due dates and any repeat violations within 12-month period may result in civil penalties.

Deficiencies and plan and proof of corrections were discussed with Administrator and backup Administrator.

Exit interview conducted. Appeal Rights and copy of this report provided.