Senior Care Records.

Facility Evaluation Report

G.l.o.m. A.r.f. 3, Stockton09/13/2021Licence 392700629

Capacity15
Census9
Date signed09/13/2021 02:13:49 PM
The inspector’s account

LPA Johnson arrived at the care facility and met with C. Benson to conduct a case management visit into an incident report received on 09/02/2021.

R-1 AWOL'd from the facility on 9//2/2021 at approximately 4:45 AM, Staff members contacted the Administrator and followed R1. The staff member lost sight of R1 and contacted Stockton Police. R1 did not return back to the facility and was discharged from the program after she was located.

According to R1's Physicians report, R1 is allowed to leave the facility unassisted.

No deficiencies were cited on today's date.

The Department has requested a new LIC 200 Form and the Board Resolution changing Velvit Turner to the CEO. If the facility is closing the department has requested a plan for closure.

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