Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted an unannounced initial case management visit regarding the death of client #1 (C1) which occurred on 10/14/25. LPA met with Assistant Administrator Richard Tan and explained the reason for the visit.

According to the death report dated 10/14/2025, C1 had eloped on 10/02/2025. On 10/03/2025, Department of Mental Health (DMH) Case manager informed the facility the C1 had been located and DMH doctor was trying to persuade C1 to return to facility. C1 did not return to the facility. On 10/14/2025, DMH Supervisor informed facility that C1 had passed away at an unknown location and an unknown cause of death.

During today's visit, administrator was interviewed, C1's file was reviewed and obtained the following:

Death Certificate and Coroner’s Report not available, Assistant Administrator will request it from DMH.

Exit interview was conducted and a copy of LIC 809 Report was provided to assistant administrator Richard Tan.