Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection to follow up on a recent elopement from the facility. LPA met with Chelsea Naruse, Administrator, and stated the reason for the inspection. LPA was advised (1) client was resting in their room and (5) were currently attending their day program. LPA observed (1) client return at the end of the inspection.

The facility contacted the Department by phone and submitted an incident report on February 5, 2026, following client (C1) eloping form the facility. LPA discussed the incident report with the administrator during today's inspection. (C1) left the facility without advising staff at around 5:00 am and returned at 5:35 am, after calling the police. (C1) returned unharmed. The administrator was awake and was expecting (C1) to be exercising at this time, as they regularly do, so did not notice when (C1) exited the door. The licensee was contacted and made aware that (C1) had left unassisted.

On February 4, 2026, (C1) had a discussion with their job coach at day program. Staff observed (C1) to be slightly upset and explained they had a conversation with their job coach and (C1) appeared to have resolved the issue and been more relaxed, but was apparently still upset the following morning. The facility held a team meeting the following day to include family members, regional center, behaviorist, and job coach. (C1) is able to make their own appointments, has their own phone and is permitted to leave unassisted. LPA confirmed on the physician's report (7/9/25) that (C1) can leave unassisted.

The facility has multiple protocols in place, including reminding (C1) to let staff know before they want to leave the facility unassisted. (C1) will continue to wear a safety bracelet. The facility is reviewing an alarm system that is accessible on a phone app, will continue to update the care plan if needed and periodically provide training to staff on client elopements. The facility took appropriate protocols when noticing (C1) had left. There are no citations issued in this report. Exit interview. Copy of report provided.