Senior Care Records.

Facility Evaluation Report

Minnesota Homes Residential Facility, Brentwood09/12/2024Licence 079200949

Capacity6
Census4
Date signed09/12/2024 10:29:11 AM
The inspector’s account

On 09/12/2024 at 9:20AM, Licensing Program Analyst (LPA) T.Syess-Gibson conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 09/09/2024. LPA met with Kelsey Escuerta, Caregiver and explained the purpose of the visit. Kelsey contacted Logan Blair, House Manager and explained the purpose of my visit. House Manager, Logan arrived at approximately 9:56AM. LPA explained purpose of visit.

Incident reported occurred on 09/09/2024 that involved client 1 (C1) AWOL'g while staff was picking up dinner in Concord CA. The facility contacted Concord Police Department 9-1-1 and was transferred to Plesant Hill Police Department , The Pleasant Hill Police looked for C1 and was unsuccessful in locating him. C1 admission agreement is dated 09/03/2024, AWOL'd on 09/09/2024, and returned to the facility on 09/10/2024 at 1:30AM. LPA reviewed C1 IPP (RCEB) which indicates C1 is independent.

Exit interview conducted and a copy of this report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction