Facility Evaluation Report
Licensing Program Analyst (LPA), Steve Nguyen, conducted an unannounced case management visit today and met with Administrator, Malu Marquez.
On 8/19/2021, Department received an incident report that resident (R1) eloped from the facility on 8/12/2021 and was returned to facility on same day at approximately 1PM. San Jose Police Department was contacted by facility; during call, 911 dispatch was able to located R1's location and R1 was able to return to facility.
On 8/19/2021, AD submitted copies of R1's Physician's Report (LIC 602A), Individual's Program Plan (IDP) and Appraisal/Needs and Services Plan (LIC 625) to LPA.
Today, 9/29/2021, LPA interviewed AD regarding the elopement of R1. AD stated that staff informed her that R1 had eloped. Per the review of R1's physician's report, R1 is unable to leave the facility unassisted.
A deficiency was cited during today’s tele-visit, see LIC809-D. Citation, Plan of Correction, and Appeal Rights were discussed with and a copy provided to Administrator Malu Marquez to review and sign.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction