Facility Evaluation Report

On 10/28/2025 at 3:00 PM, Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Case Management visit regarding incident reports submitted to the Community Care Licensing Division (CCLD) on 08/12/2025, 08/29/2025 and 10/01/2025. LPA met with Program Manager, Dillon Variz, and explained the purpose of the visit.

The Special Incident Reports (SIRs) indicated that on two separate occasions—08/29/2025 and 09/30/2025 Client (C1) eloped from the day program. According to the reports, C1 ran out of the program building and across the street without checking for oncoming traffic. Staff (S1), who was assigned to provide 1:1 supervision for C1, immediately followed C1 across the street. Staff (S1) and Staff (S2) were able to redirect C1 safely back into the program without further incident. C1's physicians reports shows unable to leave unassisted.

The SIR reported that on 08/11/2025 while the group was standing near the door preparing to transition outside, C2 eloped from the group. Staff (S1) and (S2) immediately began searching the surrounding area but were unable to locate C2. Approximately a few minutes later, Staff (S4) observed C2 sitting on a bench in the parking lot. The report noted that C2 has a history of eloping during community group outings. C2's physicians reports shows unable to leave unassisted.