Facility Evaluation Report

Licensing Program Analyst (LPA) Kayla Hilario conducted an unannounced Case Management Visit. LPA was allowed entry, discussed the purpose of the visit, and met Caregiver Mariam Santillan Williams. All staff present have current criminal record clearance.

Today's visit is in response to the self-reported incident which occurred on 11/25/2022 regarding an AWOL of Client 1 (C1 - see LIC811 Confidential Names List).

LPA conducted a wellness check at the facility by touring the facility inside and outside, observing that clients in care appeared appropriate for the facility, interviewing staff and C1, and collecting client records.

According to the Special Incident Report (LIC 624), C1 went AWOL on Friday 11/25/2022 by calling 911 on their own behalf. Facility staff were able to locate client within an hour of discovering they were missing after looking for the client and then immediately contacting law enforcement. Licensee has been advised on Absentee Notification Plan on this day.

An exit interview was conducted with Mariam Santillan Williams. A copy of this report and appeal rights (LIC9058 03/22), were provided via hardcopy at the conclusion of the visit.