Facility Evaluation Report

Licensing Program Analyst (LPA) Melinda Medina arrived to conduct a Case Management. LPA introduced self and allowed entrance by Direct Care Staff, Program Director contacted by telephone and arrived a short time later to conduct Case Management visit. LPA met with Program Director (PD), Deanna Brown and discussed the purpose of today's visit.

The Department received an incident report, reporting that on 12/11/22, R1 left facility (AWOL) without permission. Per PD, R1 was located and stabilized and re-admitted. At time of Case Management visit it was reported that R1 left facility (AWOL) without permission for a second time on 1/16/23, located, stabilized and transferred to a higher level of care. Program Director Deanna Brown stated that during both AWOL's R1 was discovered absent from facility during 30 minute checks conducted by staff. Facility did follow AWOL protocols and contacted all responsible parties, law enforcement, and this Department.

LPA Medina reviewed R1's file and physician report (LIC 624), it is documented on R1's LIC 624 that R1 may leave facility unsupervised.

Exit Interview conducted with Program Director, Deanna Brown. A copy of this report provided for facility records.