Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter arrived unannounced to deliver the results of a complaint investigation 26-AS-20251024153025 . During the complaint investigation, a case management deficiencies visit was conducted due to violations discovered during the investigation process. LPA met with Administrator Ini Uboh .

On December 22, 2025, LPA Manuel Monter interviewed Administrator Ini Uboh. ADM stated she did complete a pre admission appraisal for R1 based on R1's IPP. ADM stated the service coordinator brought R1 from the previous home for a visit, and they were able to see R1. ADM stated she was informed by the service coordinator that R1 will leave without informing staff. ADM stated she was not aware of R1's physical aggression behaviors prior to R1 moving in. ADM stated R1 moved into the facility on October 21, 2025

The Department reviewed R1’s Individual Program Plan, dated October 3, 2025. R1’s IPP states, R1 has a tendency to wander away when not supervised. R1 can also be resistive to being redirected. R1 will slap, push and pull staff’s hair. R1 history also includes walking out of a previous care home at 5am and was lost for approximately 7 hours. R1 was sent to the hospital due to being aggressive / resistive toward police and Residential Care Staff. Due to R1’s behaviors, R1 benefits from a 1:1 or a 2:1.

The Department reviewed Resident R1’s Preplacement Appraisal, dated October 21, 2025. The Preplacement appraisal does not indicate that R1 has aggressive behaviors or elopement behaviors.