Facility Evaluation Report

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced Case Management visit to follow-up on an incident reported to Community Care Licensing. LPA met with Assistant Administrator Maria Sano, and discussed the purpose of the visit.

Community Care Licensing received an incident report on 4/15/24 in which it was reported that Resident #1 (R1) went absent without official leave (AWOL) from the facility on 4/13/24. R1 was found by a visitor on facility grounds outside near loading dock. R1 sustained a cut to her forehead, facility staff called 911 and R1 was transported to the hospital. R1 returned to the facility with no new orders. Per records reviewed licensee followed absentee notification plan as necessary. Facility conducted an elopement training for staff following the incident.

During today's visit, LPA conducted a health and safety check of the residents in care and provided consultation. No deficiencies were cited during today’s visit.

An exit interview was conducted with Sano who was also provided a copy of their appeal rights (LIC9058 03/22), LIC811, this report and their signature on this form, acknowledges receipt of these rights.