Facility Evaluation Report

A Case Management Health & Safety visit was conducted by Licensing Program Analyst (LPA) K. Mcclurg. LPA met with Assistant Administrator (AA) Regan Lockett. LPA greeted AA & discussed purpose of visit. LPA spoke with Administrator (Admin) Jonathan Escobido by telephone, who authorized LPA to conduct visit with AA & for them to sign for receipt of report.

Visit conducted in response to incident as occurred on 9/4/24 & reported to the Department on 9/5/24.

LPA conducted facility walk-through. Alarm on perimeter gate set to "on" & operational. Auditory alarms on all facility doors & windows, including reinstallation for the window alarm disconnected during 9/4/24

AA walked LPA around inside perimeter of home showing window & projected route of egress, including method for not setting off perimeter alarm.

Details since incident discussed. Safety protocol & procedures, frequency of rounds, & staffing reviewed. Also reviewed current & project plans as applies to training & to physical plant.

Exit interview conducted with AA. Report provided.