Facility Evaluation Report

Licensing Program Analysts (LPAs) Simi Rai and Marcela Yanez conducted a case management visit to follow up on the status of a resident R1 who left the day program unsupervised and has not returned to the facility. LPAs met with Licensee/Administrator, Emad Qaddura and stated the purpose of today's visit.

The facility is a level 3 where residents are overseen by San Andreas Regional Center (SARC). LPAs observed 5 residents and 2 staff at the facility.

LPAs interviewed 2 staff including Licensee/Administrator. At this time, resident R1 has not returned to the facility and day program. Licensee/Administrator is in contact with local law enforcement agency and R1's family.

LPAs obtained copies of R1's records which include but not limited to R1's LIC 602 Physician's Report, Appraisal/Needs and Services Plan and Individual Program Plan (IPP).

Licensee/Administrator stated he will provide updates on the status of R1 to the Department.

LPAs stated for Licensee/Administrator to inform residents' day program about any changes in residents' physical, mental, emotional and social functioning.

LPAs determined that this case management require further investigation to obtain additional information.

No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Licensee/Administrator, Emad Qaddura and a copy of the report was provided.