Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Marin made an unannounced visit to this facility. LPA was granted entry after completing the Coronavirus 2019 screening procedure. Via phone, LPA spoke with Licensee Kevin Clark and Administrator (AD) Ken Leonard stated the purpose of the visit.

On August 1, 2022, Community Care Licensing Division (CCLD) Orange Office, received an incident report from the facility describing that on July 30, 2022 Client 1 got out of the facility unattended.

For this visit, LPA Marin toured the interior and exterior portions of facility which included but not limited to client's bedrooms and common areas. After the tour, LPA conducted interviews and file review.

Due to insufficient information, this visit will be completed at a later time.

LPA Marin conducted a phone exit interview with Administrator Ken Leonard. LPA discussed the additional documents needed. AD agreed to provide the documents to Licensee for review. LPA also did a phone exit interview with Licensee Clark. LPA stated the additional documents needed. Licensee agreed to provide documents to CCLD as soon as they become available. AD granted permission for staff to sign and receive the report. Copy of this report was left in the facility.