Facility Evaluation Report

At 2:20 p.m. on 01/05/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with staff and disclosed the reason for the visit.

Today’s case management visit was conducted in response to 2 incident reports submitted by the facility. The facility properly reported incidents of AWOLs on 12/11/2022 and 01/01/2023 of Client #1 (C1). In both incidents, facility staff followed protocol listed in the facility’s plan of operations. Emergency services were notified, and all applicable parties were notified.

At 2:30 p.m. today, LPA conducted a record review of C1’s files. C1’s medical assessment showed they are able to leave the facility unassisted. At 2:35 p.m. LPA interviewed Staff #1 (S1). To prevent further elopements, S1 reminded C1 to communicate with staff when C1 is leaving and when C1 would return. S1 stated C1 may have an upcoming meeting with the Regional Center to address the behaviors.

During today's inspection, the facility is in compliance with Title 22 regulations. No citations issued.

Exit interview conducted. Copy of report provided.