Senior Care Records.

Facility Evaluation Report

Nor Living 5 LLC, Lemon Grove04/05/2023Licence 374604540

Capacity6
Census5
Date signed04/05/2023 02:36:39 PM
The inspector’s account

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit DSP/Caregiver Lucky Morales. LPA then met with House Manager Shanta Haines, who arrived later during the visit.

Today's visit was in response to a Special Incident Report (SIR) which licensee self-submitted to the CCLD San Diego Regional Office (RO) on 04-03-2023. Per the SIR: on 03-31-2023, Client #1 (C1) had an AWOL (absent without leave) incident, and police were assisting in the search. [See LIC 811 Confidential Names List for a description of person identifiers used in this report.] During today’s visit, LPA briefly toured the facility and performed a welfare check on the clients who were present, to include C1 (who since returned to the facility). LPA also interviewed pertinent staff and reviewed relevant care records.

According to C1’s most recent LIC602 Physician’s Report, their doctor deemed them able to safely leave the facility unassisted. However, per C1’s LIC625 Appraisal/Needs and Services Plan, they were not able to safely leave the facility unassisted, had a history of eloping, and a main care objective was reducing such events. C1’s latest Individual Program Plan (IPP) from San Diego Regional Center (SDRC) essentially stated that to mitigate C1's AWOL behavior, C1 was to “alert staff” whenever they felt “the need to escape or leave an area” and that facility staff were to “identify antecedents to elopement behavior and to intervene when those antecedents are observed.”

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction