Description: A licensee must assess each person in care on admission to determine the risk that the person in care may leave the community care facility without notification of an employee.

Corrective Actions Required: Ensure each person in care on admission is assessed to determine the risk that the person in care may leave the community care facility without notification of an employee.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: June 18, 2026

Observations: Licensing audited two person in care binders. Two person in care binders did not contain elopement risk assessments. Licensing spoke to the Manager who stated that elopement risk assessments for persons in care had not been conducted on admission to the program.