Follow-up·October 8, 2025

On 10/8/2025 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to conduct a case management. Upon arrival LPA observed R3 between the poles of the iron fence at the facility. S1 & S2 were both with R3 attempting to redirect R3. LPA asked if R3 was stuck in the fence, staff stated no they are trying to leave the facility. LPA asked what triggers the fence to open, staff stated it is opened from inside. LPA explained this is dangerous due to the fence opening towards the resident and could potentially pin the resident between the fence. There is another opening in the gate to walk through, but this part of the gate has a double dead bolt lock and can only be opened with a key. LPA obtained copies of R3's physical, reappraisal, and appraisal forms. Licensee Anthony will provide LPA with copy of approved fire clearance by 10/13/2025. Follow-up visit will be warranted if citation are to be issued at a later time once all documentation is reviewed. Exit interview was conducted and a copy of this report LIC809 was provided at Licensee Anthony Barbato.