Facility Evaluation Report

03/17/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced case management inspection and met with Manager Program Operations, Kayla Hotchkiss and House Manager, Krysteena Brice. The purpose of this case management inspection was to follow up on two self reported incident submitted to Community Care Licensing (CCL) on 03/04/2026.

Incident Report #1 states on 03/02/2026, around 8:50am, client (C1) became agitated pacing back and forth. C1 asked staff if they could walk in the backyard to which staff approved and asked C1 to stay in eyesight. Approximately 10 minutes later during shift change, staff went to check on C1 and C1 was no longer there. Staff asked other staff members if they had seen C1 and they reported no. Staff grabbed the company car and drove around looking for C1. Staff found C1 30 minutes later, approximately a 15 minute walk away from facility.

Incident Report #2 states on 03/03/2026, at approximately 8:15am, C1 became agitated following a phone call conversation and began pacing. Staff attempted to offer support, but C1s agitation increased and instructed staff to back off before running down the street. Staff attempted to follow C1 but was unable to maintain visual contact. Staff continued to search the area for C1 until C1 returned to facility on their own.

Per conversation with Manager Program Operations C1 was approximately missing for an hour and police were notified.

LPA requested and reviewed documents. Per facilities missing person protocol, facility made appropriate procedures when C1 was missing. Per C1s LIC602, C1 is able to leave facility unassisted.

Exit interview conducted with House Manager and Manager Program Operations. Copy of report and LIC811 (confidential names) was provided.