Facility Evaluation Report

A case management visit was conducted at the care home to review and discuss an incident involving a resident. Licensing Program Analyst met with Facility Administrator Gina Hernandez to discuss and incident and review client's record. the facility submitted an incident report documented that a resident has left the facility and his whereabouts were unknown. A Police Report and SIR was filed. LPAS reviewed the report and asked for the Physician Report (LIC 602) and it was determined that the facility had not yet received the report for this client that moved in on 6/28/21. In the client's record, it was determined that there was not a Physician's Report (LIC 602) as required. History of client documents he has a history of elopements. Two deficiencies are issued and the following 809D

Copy of report given to the facility along with the citation and appeal rights.