Facility Evaluation Report

Licensing Program Analyst (LPA) Fernandes-Goes conducted an unannounced case management and was welcome by Ann Gougher administrator during this visit. The purpose of the case management visit is to obtain additional information regarding incident report submitted to the Department. There are 3 clients in care during this visit.

Department learned that on 2/5/2022 client C1 admitted on 1/12/2022 left the facility unassisted at 8:40 AM and returned at 8:45 AM. Staff at the facility contacted the police who arrived around the same time as C1 and administrator. Staff spoke with C1 requesting for her not to leave facility unassisted, however; client C1 left anyway. GGRC and facility are looking for a one on one day program to place client C1. On Saturday February 5, 2022 there were 5 clients and 1 staff at facility. Physician’s report dated 1/2022 stated that resident is able to leave facility unassisted. Per staff and client C1, client is not happy to be at this facility and would like to live independent. Facility, client C1, and GGRC will be meeting on Thursday February 17, 2022.

There were no deficiencies cited at this time.