Facility Evaluation Report

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a case management visit in order to follow up on an incident report. LPA Moleski met with administrator Orlando Carpio and explained the purpose of the visit.

The incident report described an incident that took place on 7/31/23, wherein a resident (R1) took a walk outside and was followed by staff in a vehicle. R1 went inside a nearby store, while the staff member was parking the car. The staff member saw R1 running out of the store. R1 returned to the facility in the vehicle. Police later arrived at the facility and notified staff that R1 had allegedly stolen a pencil and threatened an employee of the store.

Carpio said S1 was present at the time, and has since quit working at the facility. LPA Moleski called S1 but did not receive an answer. R1's IPP states that R1 receives one-on-one supervision.

LPA Moleski reviewed R1's LIC 602. According to the LIC 602, R1 may leave the facility unassisted "with caregiver supervision."

No deficiencies were cited during this visit. An exit interview was held and a copy of this report was left with Carpio.