Facility Evaluation Report

Licensing Program Analyst (LPA) Quoc Huynh conducted an unannounced Case Management Incident visit at 11:31AM. The LPA met with Med-Tech Claudia Perez and explained the reason for the visit. The Administrator was unavailable during today’s visit and participated via telephone call. Entrance interview conducted.

On 03/27/2026, the Department was notified of Resident #1 (R1) who was unattended at a related facility. The LPA contacted Administrator Amber Leigh via telephone call who stated that R1 left the facility on 03/23/2026, was independent, and able to provide their own transportation. The Administrator provided documents which indicated R1 was non-ambulatory, able to leave the facility unassisted, and unable to manage or have access to medications.

During today’s visit, the LPA contacted the Administrator at 11:47AM. Beginning at 12:02PM the LPA and Med-Tech conducted a physical plant tour and reviewed R1’s medications. No immediate concerns were observed.

The Administrator confirmed with the Med-Tech on shift on 03/23/2026 that R1 left the facility without notice and medications were not checked out to them. R1 then returned to the facility on 03/28/2026 and was immediately placed on a psychiatric hold due to aggressive behavior. Med-Tech Claudia Perez stated that they contacted R1 on 03/24/2026 and were unable to receive a clear answer on R1’s return to the facility and notified R1's physician.