Facility Evaluation Report

On 8/19/21 at 1 PM, Licensing Program Analyst (LPA) Cheng conducted an unannounced complaint investigations visit regarding the above allegations and met with Leonard Warmington. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 mask and gloves. Additionally, LPA was screened by staff. All interviews and file reviews were conduct in the backyard patio of the facility where more than 6 feet of social distancing was implemented.

On 8/19/21 at 1:30 PM, LPA Cheng interviewed C1, S1, and S2.

On 8/19/21 at 2PM, LPA requested to see C1's IPP, physician's report, and C1's Behavioral Action Plan.

LPA determined that C1 had left the facility unassisted on 8/15/21 by exiting the via garage side door; however, facility has ongoing preventative measures in place to ensure supervision to reduce the frequencies of these incidents and an active behavioral plan with C1. C1 was located in under 15 minutes and was redirected back to the facility without injuries. Facility had sufficient supervision at the time of the incident, ongoing behavioral plan, preventative measures, and responded within a timely manner. C1 understood that his actions were wrong and that the facility is there to assist C1 at all times.

No deficiencies observed. Exit interview conducted and a copy of the report was given.