Facility Evaluation Report

On 7/14/2022 at 3:10PM Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 7/8/2022. LPA met with Henry Magtibay, Caregiver and explained the purpose of the visit.

Incident report was sent on 7/11/2022 after elopement. LPA requested C1's file. Facility did not have a file for C1. S1 stated that C1 did not want to sign any paperwork. S1 will confirm with Pittsburg Police Department if C1 was entered as a missing person. S1 stated that staff looks for C1 everyday.

The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties.

Exit interview conducted. A copy of this report and appeal rights provided