Facility Evaluation Report

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to conduct a Case Management visit. LPA Hurt met with facility Administrator Emmanuel Inneh and explained the purpose of today's visit.

Licensee stated before they left the facility on 12/03/2025 around 4 p.m. they noticed Resident 1 was behaving differently, pacing in and out. Licensee stated they warned Staff 1, and staff 2 to observe Resident 1 closely as he was behaving out of the ordinary. Licensee stated they witnessed Resident 1 go across the street. Licensee stated around 3 a.m. they received a call from Staff 3 that Resident 1 has been awake all night pacing around the facility and they are unsure what to do. Staff 3 stated Resident 1 then went to all the resident bedrooms and was opening the doors. Staff 3 stated Resident 1 went out through one of the facilities exits and the door closed behind Resident 1 and they were unable to re enter the facility. Staff 3 stated Resident 1 then broke the window of room 10 and climbed back into the facility. Resident 2 inside Room 10 ran out of the facility afraid and told staff "someone was trying to kill them." Staff 3 stated they advised Resident 2 to sit on the sofa and wait because Resident 1 is having a hard time. Staff 3 stated they told Resident 1 they would call the police if they continued this behavior. Resident 1 then jumped back out of the window in room 10 and came to the entrance of the facility and broke the large entry window. Staff 3 did call the police but the police did not come to the facility. Licensee then called again to the police and they did show up 30 minutes later. Licensee stated Resident 1 was holding a large piece of glass and walking towards the staff who was telling resident 1 to back away. Resident 1 became combative with police and was transported to Natividad hospital by ambulance. Licensee submitted a report to County Conservator, and Program Manager, and also to State Licensing. Licensee stated they have notified Resident 1's social worker, and conservator that they do not want them to return to the facility. Licensee has not began with eviction process.