Facility Evaluation Report

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced Case Management - Incident visit. LPA was welcomed by and identified herself to Nick Fierro, Administrator 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 03/17/2025). According to the LIC 624: on 03/06/2025, Client #1 (C1) went AWOL (absent without leave) from the facility. [See LIC 811 Confidential Names List for a description of C1.] On 03/06/2025, C1 left for a walk and did not return to the facility. On 03/06/2025 C1 was picked up by the El Cajon police and brought to the hospital at 3pm. Interview with the Administrator revealed that if C1 was not picked up by police they most likely would have arrived back to the facility. Interviews revealed C1 was medication compliant and there were no surrounding issues. Interviews revealed they feel as though C1 just left to take a walk. Interviews revealed staff made several checks around the facility then they contacted the sheriffs department to report the AWOL.

According to C1’s latest LIC 602 Physician’s Report (dated 05/04/2024): C1’s primary diagnoses were are Schizophrenia with acute exacerbation. According to C1 physicians report C1 is able to safely leave the facility unassisted.

According to the facility’s Absentee Notification Plan/Policy: When a client such as C1 is AWOL from the facility, staff are to search the facility for the client and then notify the administrator if the client has not been accounted for by the end of the shift. Within a 24 hour period, these measures will be taken, contact clients authorized representative, LPA and it is noted that staff are to notify law enforcement after 72 hours for a missing persons report.