Senior Care Records.

Facility Evaluation Report

Revival Mental Health, LLC, Fountain Valley01/24/2024Licence 306006262

Capacity6
Census6
Date signed01/24/2024 12:41:20 PM
The inspector’s account

Licensing Program Analyst (LPA), Ruth Martinez conducted an unannounced case management visit today. LPA arrived at facility was greeted and granted entry. LPA met with Patrick O'Connell, Program Manager and explained the nature of the visit.

This visit is to follow up on an incident report that was self reported on January 09, 2024, regarding client 1 (C1) incident from January 07, 2024. LPA completed a client file review and interviewed staff. On January 07, 2024, at 9:50pm C1 was observed to be leaving the facility by another staff. C1 was observed to have left in an uber with their belongings. Staff immediately notified the Program Director and the Program Manager, and they immediately called the Fountain Valley Police Department to report the incident. Responsible parties were notified as well. C1 came to the facility of the following night to pick up the rest of their belongings and was discharge out of the program. LPA obtained copies of pertinent documents. Record review reflects facility to have an aftercare plan/discharged instruction form on record.

LPA found that facility acted appropriately and in a timely manner to address the incident and all other immediate attention to incident in question. LPA did not observe any immediate and/or safety risks in or out of the facility.

This report was reviewed with the Program Manager and a copy provided and left at the facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction