Facility Evaluation Report

On 07/16/2025 at 8:45 AM, Licensing Program Analyst (LPA) Triel Ellen Lindstrom arrived at the facility unannounced to conduct a case management site visit. The LPA was greeted at the door by two Caregivers (S1 and S2). The LPA introduced herself, explained the purpose of the visit, and asked to speak to an Administrator. The LPA then met the House Supervisor (S3), who was on-site. S3 called the Administrator to announce the LPA's arrival; the Administrator (S4) arrived at 9:15 AM. The LPA interviewed S4, S3, and S1. The purpose of the visit was to discuss an AWOL incident that occurred at the facility.

On 06/15/2025, the LPA received a VMRC Special Incident Report regarding a client AWOL from the facility that occurred on 06/14/2025. The LPA reviewed the SIR and the LIC 602 for the client. It was learned that the client (C1) was not permitted to leave the facility without assistance. During this site visit, the LPA requested a copy of the IPP for C1 for review. The LPA did not see any history mentioned of C1 ever eloping from a facility in the IPP.

From staff interviews, the LPA learned that the facility had adequate staffing ratios the evening of C1’s AWOL and that staff implemented the facility’s AWOL procedures within five minutes of C1’s departure from the facility. Staff searched the surrounding area for C1 and called the Modesto Police to report the incident. C1 returned to the facility by himself. After the incident, the Administrator had a meeting with C1’s Valley Mountain Regional Center Social Worker to discuss the matter. C1 no longer lives at the facility.

The Administrator will send the LPA a written copy of the facility’s AWOL policy and procedures by 07/30/2025. The Administrator will also conduct an in-service training on these AWOL policies and procedures for staff and submit documentation of this training.