Incident investigation·February 27, 2024

On 2/27/2024, at 10:00am Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 2/14/2024. LPA met with Executive Director, Jesus Gonzalez and explained the purpose of the visit. The incident report received stated that Resident 1 (R1) was observed walking back into the community through the front door by the concierge. Record review of R1's physician's report dated 3/21/2023, indicated that R1 is not able to leave the facility unassisted. Staff 2 (S2) stated that staff checked cameras and did not catch her leaving, but there are exits where a PIN code is not needed and staff assume R1 left through rear door. LPA obtained a copy of the staff roster, resident roster, Resident 1 (R1) physician's report and progress notes for the month of February during the visit. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of appeal rights and this report was provided.