Facility Evaluation Report

Licensing Program Analyst (LPA) Andrea Mendivil conducted an unannounced case management visit to follow up on an incident report dated 12/08/2022. LPA was greeted and granted entry into the facility and explained the reason for the visit to Program Director Lisa Samaan.

Unusual Incident/Injury Report (LIC 624) was received on 12/08/2022 for an incident that occurred on 12/07/2022. Per LIC 624 Client 1 (C1) left facility at 11:56pm. Staff called Tustin PD and they arrived at 1:20am, staff filed a missing persons report. At 2:01AM C1 returned to facility and staff was notified by Program Director to not allow C1 back into facility. Staff contacted C1's responsible party and responsible party stated would be unable to pick up C1. C1 was offered their belongings but declined, facility offered warm clothing and C1 accepted.

Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided as well as appeal rights.