Facility Evaluation Report

Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management visit to follow up on an incident report, received by Community Care Licensing on 9/20/22. LPA was granted entry into the facility by Joseph Baker, Assistant Program Director. LPA then met with Rukhsana Gasque, Licensee, to whom she discussed the purpose of the visit.

The incident reported the absence without leave (AWOL) of Client 1 (C1) (See LIC 811 Confidential Names to identify C1) that occurred on 9/13/22. C1 was last seen at the facility on 9/13/22, at 12:20pm. Per licensee, C1 asked to leave program at 12:30 pm to pick up a family member. C1 was advised that the program would be over at 1:30pm and that they had not obtained prior approval. C1 left the facility at 12:30pm. C1 is independent and able to access the community; however their outings during program hours are approved by an outside agency. C1 transports to and from facility by bus.

Licensee Ruskhana Gasque, stated that the police department was not contact due to C1 is independent. Licensee immediately contacted an outside source who authorizes C1’s outings.

A records reviewed determined that C1 is independent and lives on their own, they use the bus to transport to and from day program daily.

LPA was conducting another visit at the facility on today (9/29/22) and observed Client 2 (C2) (See LIC 811 Confidential Names to identify C2) walk out of the facility parking lot and onto the sidewalk in front of the facility. Staff 1 immediately ran to the end of the parking lot to the sidewalk area and joined C2 in his walk. Staff 1 and C2 returned C2 to the facility together after walking the block. C2 advised LPA that they were upset and wanted to go home.