Incident investigation·September 6, 2024

On 09/05/2024 at 11AM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 2/28/2024. LPA met with Administrator (ADM) and explained the purpose of the visit. The incident report received stated that on 08/27/24 resident (R1) threatened to use stolen hospital syringes on staff due to aggressive behaviors. Staff notified police who placed him under custody due to prior arrests. When R1 came back to the facility, he requested staff to take him to the local bank and leave him there. Review of R1's physician's report show he is able to leave the facility unassisted. Since R1 did not return from the bank to the facility, administrator (ADM) filed a missing person's report with police. ADM continues to work with R1's case manager and primary care physician in addressing his needs. ADM also issued a written 30 day notice of eviction to R1 (see attached) effective 09/30/24. j.zier incident report 2024-08-27 s.pdf eviction notice j.zier.pdf Exit interview conducted and a copy of this report provided.