Facility Evaluation Report

Licensing Program Analysts(LPAs) Steve Chang and Mita Partoza conducted an unannounced case management inspection visit and LPAs met with Administrator(ADM) Emad Qaddura.

LPAs stated the purpose of the visit is to conduct a case management to address the incident when resident (R1) eloped while attending the day program on 9/3/2024.

LPAs toured the facility inside and outside such as but not limited to the kitchen, dining, living room and resident room and bathroom and staff room. LPAs observed no sharps, knives and medications and observed them to be locked and not accessible to resident. LPAs observed chemicals are locked and not accessible to residents. Facility is maintained and sanitary. Walkways and hallways are free from obstructions.

The facility has 6 residents who are ambulatory and are intellectually disabled. LPAs observed 5 out of 6 residents are not present. LPA interviewed staff and R1. R1 resides at the facility and is currently not attending a day program.

LPAs requested LIC/ADM to provide updated appraisal needs and service plan for R1 based on the discharge instruction from the hospital, progress notes, after the incident and a written plan of action to prevent the incident from occurring. .

No deficiencies were cited during today's visit. Exit interview was conducted with administrator Emad Qaddura. A copy of the report was provided.