Facility Evaluation Report
Licensing Program Analyst (LPA) Kelly Dulek initiated an unannounced Case Management – Incident visit for an Incident Report received at the Regional Office on 07/29/2022 at 05:48PM. LPA arrived at the facility at 11:55AM and initially met with facility staff Tiana Viveros. Staff indicated Administrator Carlos Marcia was unavailable for today's visit; LPA spoke with Administrator at 01:17PM and confirmed House Lead is authorized to sign reports for the facility. House Lead Belen Gutierrez arrived at the facility at 01:30PM. Entrance interview conducted.
The incident report was authored by Administrator Carlos Marcia indicated that Client #1 (C1) had eloped from the facility around 2:07PM on 07/28/2022. Incident report further indicated that around 2:00PM shift change, incoming staff had observed C1 walking away from the facility and towards the traffic light about to cross the street towards the gas station. The incident report narrative indicates incoming staff remained with C1 until another staff came to pick C1 up and return C1 to the facility.
During today's visit, LPA, along with facility staff Tiana Viveros, toured the facility grounds inside and outside at 11:58AM. No immediate health and safety hazards were identified during today's visit. Additionally, LPA conducted staff interviews at 12:32PM, 01:47PM, 02:46PM, and 02:49PM, as well as client interviews at 12:45PM and 01:02PM. LPA reviewed and gathered copies of pertinent documents related to the incident. Interviews revealed that C1 was outside during shift change. During shift change outgoing staff sit down, make notes and share updates with incoming staff. Outgoing staff remained inside during shift change, while C1 was outside. Staff #1 (S1) and Staff #2 (S2) initially saw C1 outside walking on the street towards the highway. S1, and S2 came to the facility and reported in person they saw C1. Interview revealed that staff did not remain with C1 during the elopement. Staff #3 (S3) was present at the facility and once relieved, S3 left the facility to pick up C1. When S3 observed C1, C1 was
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction