Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a case management - incident visit based on 3 incident reports received for 3 residents (R1 - R3) who eloped from the facility. LPA met with Assistant Administrator (AA), Armando Guba.

On 10/31/2024, the Department received 3 incident reports reporting R1 - R3 who eloped from the facility the night of 10/24/2024. The incident report stated that on 10/24/2024 around 8:45PM, staff conducted a room check and observed R1 - R3 were missing from the facility. A missing persons report was called at 11:30PM. On 10/31/2024, LPA Marrufo spoke with the Administrator who stated that R1 was found, but R2 - R3 are still missing.

On 11/04/2024, LPA Dolores interviewed AA. Based on interview, on 10/24/2024 R1 - R3 was last seen at the facility after dinner time (from 5:30PM - 6:30PM). AA physically saw R1 - R3 around 7:15PM after the residents asked for the remote in the lounge area. Around 8:00PM, is when the bedtime medication pass started. Staff noticed R1 - R3 did not receive their bedtime medication and staff went to look for R1 - R3. After searching the facility, R1 - R3 was not found. AA stated they waited until after curfew (10PM) to call for a missing persons, in case R1 - R3 were to return. R1 - R3 did not return to the facility and staff called for a missing persons around 11:30PM. AA states to believe R1 - R3 exited from R1 and R2's bedroom window because the window screen was observed outside the the bedroom on 10/25/2024. It was stated that the bedroom window was observed closed the night R1 - R3 went missing.