Facility Evaluation Report

On this day Licensing Program Analyst (LPA) Anna Bueno made an unannounced visit to the facility to conduct a case management on a deficiency observed on 05/22/2023. LPA met with Vivian Francisco who was informed of the purpose of today's visit.

The deficiency is issued in relation to complaint number: 56-AS-20230518141057 that was filed under the incorrect facility. The complaint allegation was Staff did not properly supervise client resulting in elopement. On 04/19/2023, the Department received an incident report from 04/17/2023 that Client 1 (C1) eloped from the facility and was taken to a local hospital. The incident report further stated that facility staff had been counseled on preventing C1’s elopement tendencies.

During today's visit, LPA reviewed records and received proof of correction. A Letter of Deficiency Citations Cleared was issued during today's visit. No new deficiencies were observed during today’s visit. An exit interview was conducted where this report was discussed with and provided to Licensee.