Incident investigation·November 1, 2023

On 11/01/23, Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility to conduct a Case Management visit regarding an incident that occurred on 10/12/23.LPA met with Executive Director (ED) , Stephen MacDonald and explained reason for visit. On 10/20/23, the facility notified the Department via LIC624 (Incident Report) that R1 eloped from the facility on 10/12/23 and had returned after being located by law enforcement on 10/12/23. On 10/23/23, LPA Bains requested R1 facility records via email. On 10/25/23, LPA Bains followed up with the facility via email regarding the requested documents. On 10/25/23, Executive Director, Stephen MacDonald, advised the Department that records would be sent over by close of business. On 10/30/23, LPA Bains sent another follow up request for R1’s documents. As of this date, the Department has not received documents for R1 which were requested on 10/23/23, therefore citations are being issued pursuant to Title 22 and notated on the 809-D page attached herewith. Failure to submit Proof of Correction (POC) by Plan of Correction date may result in civil penalties. Exit interview was conducted with ED and the report was reviewed. Appeal rights and a copy of this report was left at the facility.