Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced case management-incident regarding client (C1). LPA Monter met with Administrator Caroline Mayo(ADM) and stated the purpose of today's visit.

On June 30, 2025, the Department received an incident report (IR) stating on June 30, 2025 around 10:05 am, C1 was assisted by staff to get down from the van. When all the client were unloaded from the van, S1 went to turn off the van. Staff went inside the mall, and realized that C1 was still in the parking lot. S1 immediately ran to get C1. S1 saw C1 where he/she was left- in her wheelchair on the passenger side in the parking lot. S1 asked C1 if he/she is ok, and he/she said" im fine". S1 checked C1 if he/she has injury and no injury that was noted or observed from C1.

On July 7, 2025, LPA Manuel Monter interviewed staff S1-S3. Staff S1 stated he/she was unloading the clients. S1 stated after he/she turned of the van and put the disability placard, he went inside to the food court. S1 stated he was informed by S2 that C1 was not with them. S1 stated he/she ran back outside and found C1 sitting next to the van.

Staff S2 and S3 stated after the clients were unloaded, he/she and S3 entered the mall, headed towards the food court. S2 and S3 stated when S1 arrived, they informed him/her that C1 wasn't with them. S2 and S3 stated S1 ran back to the van to get C1.

All staff interviewed stated C1 was left alone outside for about 5 minutes.