Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with staff member Mark Andraya (S1). During visit, LPA observed 0 residents and 1 staff.

LPA toured the facility inside out with S1 which included; the Living room, kitchen, dining room, 2 restrooms and 3 residents bedrooms. The staff area of the facility was also inspected.

While touring the backyard, LPA observed the backyard and side fence adjacent to the garage, had multiple wooden planks missing from the fence, creating an opening to the homes next door. (Photographs were taken). LPA also observed a metal screen on the outside of the facility hallway bathroom.

While touring the facility activity room, LPA observed a shoe lace tied to the two adjacent door knobs. (LPA took photograph.) S1 stated he/she tied the door because resident R1 attempts to AWOL. S1 stated in the past R1 has AWOL'ed and jumped over the fence. S1 stated he/she needs to shower all 6 residents and he/she is the only staff at the facility from 5:30am-8:00am. S1 stated he/she tied both back door exits to keep R1 from AWOLing. (S1 stated R1 has a behavior of AWOLing thru the backdoor exits. S1 stated he/she knew tying the activity room door was wrong, but he did it to keep R1 from AWOLing as he/she was the only staff in the facility.

Based on a review of resident R1's IPP dated, 5/31/2024, R1 has a behavior of AWOL (running and walking away from site or supervision. )

Based on a review of R1's Appraisal/Needs and services plan, dated April 15, 2023, R1 has an AWOL behavior. under objective/plan, "staff to monitor R1 to prevent any AWOL incidents."