Facility Evaluation Report

At approximately 9:45AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Case Management - Incident Visit and met with Residential Supervisor, Diego Chavez. Program Director, Michelle Barnett, arrived later during visit at approximately 10:00AM. The purpose of the visit was to follow up on a self-reported incident that was submitted to Community Care Licensing (CCL).

Incident Report 1: CCL received an incident report on 03/30/2023. Report states that on 03/28/2023, Client 1 (C1) was observed to not be in their room during a routine check. Facility searched the area, notified Local Law Enforcement and located C1. Local Law Enforcement determined that C1 would be taken to the hospital to be evaluated. C1 returned to the facility the next day on 03/29/2023. Facility made all appropriate notifications per regulation.

LPA discussed C1 with Program Director and Associate Clinical Director. LPA requested and reviewed documents. As of today, 05/12/2023, C1 has been discharged from the facility due to completing their treatment plan.

LPA conducted a walk-through of the facility.

Exit interview conducted. Copy of report and LIC811 (Confidential Names) discussed and provided to Program Director. Signature on form confirms receipt of documents.