Facility Evaluation Report

On 9-27-22 at 1:30pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management due to an incident which occurred on 8-28-22. LPA met with Program Administrator Lashane Joyner and explained the purpose of the visit. LPA interviewed Administrator and reviewed incident report for R1. LPA also reviewed behavioral intervention plan for R1. Based on records reviewed and interviewed, it was determined that R1 engaged in an attempted elopement which resulted in R1 crossing the street and attempting to assault a neighbor. It was further determined that staff observed resident running off the property and were aware of resident's general whereabouts during the incident, and intervened in an attempt to de-escalate incident. Law enforcement was notified as well as licensing department and ombudsman within regulatory time frames. R1 sustained injury and was taken to hospital for treatment, and release same day back to facility. R1's behavioral plan has been updated to reflect behaviors.

Based on today's visit, no deficiencies are cited. An exit interview was conducted with Program Administrator Lashane Joyner and a copy of this report was left with Lashane.