Facility Evaluation Report, 03/18/2025 — Eubank Castle, Spring Valley CA

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced Case Management - Incident visit. LPA was welcomed by and identified herself to Monica McDade, Program Director and discussed the purpose of the visit.

Today's visit was in response to an LIC 624 Incident Report, which licensee self submitted to the CCLD San Diego Regional Office (received on 03/13/2025). This was the first AWOL. According to the LIC 624: on 03/11/2025, Client #1 (C1) went AWOL (absent without leave) from the facility. [See LIC 811 Confidential Names List for a description of C1.] On 03/12/2025, C1 returned to the facility at 9:30pm. Interviews with C1 did not reveal where they were and or what they were doing. Interviews revealed staff asked C1 if they could check their bag since they were gone overnight and they didn't know where they were and C1 told them no. Interviews revealed on this day C1 walked out of the facility with a backpack and walked down to an unknown car and left. Interviews with staff revealed staff and the police tried calling C1 and it went to voicemail each time. Interviews revealed immediately after C1 left they contacted the sheriffs department to report the AWOL.

As of today’s licensing visit, LPA Holmes was advised that C1 AWOL'd again on 03/16/2025 by walking out of the facility with a back pack and staff asking them where they were going and C1 ignoring them. C1 then got into an unknown van and left. Staff notified the sheriffs department, they came and gathered information regarding C1. C1 returned back to the facility on 03/17/2025. LPA performed a facility tour and welfare check on C1 and the other remaining clients in care were at program, finding no immediate safety concerns. LPA also reviewed pertinent records and interviewed relevant staff.

According to C1’s latest LIC 602 Physician’s Report (dated 10/03/2024): C1’s primary diagnoses were Major Depressive Disorder (MDD) without Psychotic features, Major Depressive Disorder, recurrent (HCC). According to C1 physicians report and IPP C1 is not able to safely leave the facility unassisted.