Facility Evaluation Report

On 5/10/2023 at 10:30AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Umonja Terry, Direct Support Professional and explained the reason for the visit.

When LPA L. Hall was conducting a complaint investigation ( 15-AS-20230501140731 ) on 5/10/2023. Upon arrival no one was at the facility. LPA called and spoke with Staff 1 (S1) and was told someone will arrive shortly. As LPA was returning to the vehicle a client Client 2 (C2) walked up and stated to LPA that he is left at the home but has the code for the door. C2 went inside and LPA went back to vehicle. Staff 2 (S2) arrived at 10:00AM with other clients. LPA requested files for staff and clients, S2 was not able to provide those files for LPA to reviews. S2 stated Administrator was out-of-the country and has been gone for approximately one (1) month.

-At 9:40AM, LPA observed C2 was left at facility unsupervised.

-At 10:05AM, LPA observed Administrator was not available and did not have a backup.

-At 10:15AM, LPA observed that S2 was not able to provide staff or client files for review.