Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter arrived unannounced to deliver the results of a complaint investigation. During the complaint investigation for the complaint 26-AS-20230310144550, a case management deficiencies visit was conducted due to violations discovered during the investigation process. LPA met with Lead Staff Robert Foronda

While investigating the complaint , LPA discovered that an incident report was not given to the Department regarding R1 running to the front of the home on February 23, 2023.

Based on interviews with ADM, Staff S1 and S2, resident R1 did run to the front of the home on February 23, 2023. Staff S1 stated R1 was having a behavior that day and had struck one of the staff and ran towards the front door. S1 stated he/she followed R1 outside. S1 stated when he/she was chasing after R1, S1 stated he/she was also trying to call out and redirect R1 back to the home. S1 stated he/she followed R1 until R1 had calmed down and redirected R1 back home. S1 stated he/she followed R1 and R1 was not left unsupervised.

Staff S2 stated he/she was staying in the staff room sleeping (live in staff). S2 stated he/she heard some noise and exited the staff room to investigate. S2 stated he saw R1 throw small speaker and he/she tried to intervene but R1 threw it. S2 stated R1 went outside and (S1) followed him/her. S2 stated S1, brought R1 back.

On September 28, 2024, LPA interviewed ADM. ADM confirmed that on February 23, 2023, resident R1 had run to the front of the home, while staff S1 had followed him. ADM stated she doesn't know if she sent an incident report to Community Care Licensing. (CCL). ADM stated she doesn't have the records and does not know