Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Co-Administrator Princess Torres.

Today's visit was in response to an LIC624 Incident Report, which licensee self-submitted to the CCLD San Diego Regional Office (received on 09/02/2023). According to the LIC624: during an 09/01/2023 community outing with staff, Client #1 (C1) eloped / went AWOL (meaning they left staff supervision). [See LIC 811 Confidential Names List for a description of C1.] Later that same evening, C1 was located and returned to the facility uninjured/unharmed.

During today’s visit, LPA performed a facility tour and welfare check on C1, verifying that they were indeed unharmed. LPA also reviewed pertinent care records and interviewed relevant staff.

According to their LIC602 Physician’s Report (dated 06/22/2023), C1’s diagnoses included “Autism Spectrum Disorder.” To the stock question of whether C1 was “at risk if allowed to leave the community unsupervised,” the physician made no comment (they left that field blank). However, C1’s Client Placement Referral (dated 05/02/2023) from San Diego Regional Center (SDRC) indicated that C1 had “been struggling with mental health,” had a recent suicide attempt, and required “more supervision to ensure [their] safety.” Multiple staff interviews corroborated that C1 required staff supervision when outside of the facility.

According to the facility’s written Absentee Notification Plan: if a client is suspected to be missing, staff are required to notify the client’s “authorized representative” within one (1) hour and law enforcement within two (2) hours of unsuccessful searching.