Facility Evaluation Report

Licensing Program Analyst (LPA), Natasha Persaud conducted a Case Management - Incident visit. LPA discussed the purpose of the visit with Program Administrator, Melissa Martinez.

On 01/28/25, the facility's Program Administrator self reported an incident involving Client #1 (C1). C1's Physician's Repot dated 10/29/24 indicted C1 can leave the facility unassisted. C1 ran out of the house and staff began search. Staff were unable to locate C1 and contacted C1's responsible party and local law enforcement. Law enforcement located C1 and transported C1 to the hospital for evaluation.

Today, the facility was briefly toured, records requested and interviews conducted with staff. No deficiencies were issued today. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Program Administrator, Melissa Martinez whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Client #1].