Incident investigation·October 3, 2024

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced case management visit to conduct follow up regarding an incident report. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Raymond Abedoza. Administrator Lynn Drummond arrived during the visit. On 9/13/2024, the Department received an incident report from the facility regarding Resident 1 (R1). [Administrator was provided with an LIC811 Confidential Names List to identify R1] The incident report stated that on 9/7/2024, R1 decided to move out of the facility and into a private dwelling and left in a ride-share vehicle. Review of records received from the facility revealed that on 7/17/2024, R1 had been issued a 30-day eviction notice in which the 30-day ended on 8/16/2024. During a licensing visit on 8/22/2024 and contacts from facility staff and outside sources, the Department confirmed that R1 had not relocated to alternate placement. During today’s visit, LPA observed residents in care, reviewed and obtained copies of facility records, and interviewed staff and residents. LPA confirmed that R1 was not present at the facility and the facility did not contain any of R1's personal belongings. No deficiencies were cited on today’s date. An exit interview was conducted with Administrator Lynn Drummond, whose signature below confirms receipt of a copy of this report, the LIC811, and the Licensee Appeal Rights (LIC9058 3/22).