Facility Evaluation Report

Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil made an unannounced visit to the facility to initiate a case management visit to follow up on an incident report submitted to Community Care Licensing. LPAs were greeted and granted entry into the facility by Administrator Patty Osuna and explained the reason for the visit.

Incident report dated 03/21/2022 indicated that at approximately 6:15 am on 03/21/2022 Resident 1 (R1) was not in the facility. Caregivers searched the facility and resident was not found. Police were called and a missing person report was filed at approximately 12:15pm. R1 returned to facility on 03/24/2022 and was sent out for a psych evaluation.

LPAs reviewed R1 physician's report, dated 05/14/2020 Mental Condition items indicate that R1 is both ambulatory and able to leave the facility unassisted.

LPAs spoke with licensee in regards to cancelled surety bond. Licensee showed proof of payment and will forward documents to LPA by 04/01/2022

Exit interview conducted and a copy of this report was left at the facility.