Follow-up on corrections·November 1, 2023

11/01/2023 11:45 PM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with Executive Director Sonya Gonzales. Today’s visit is regarding an incident that occurred on 10/21/2023 and was reported to licensing on 10/24/2023. It was reported that on 10/21/2023 Butte County Sheriff department arrived at the facility with Resident 1 (R1). Sheriff advised they found R1 on the sidewalk near Oroville Hospital. It was reported that the landscapers left the exterior gate to the memory care unit unsecured and R1 exited the facility through the gate. R1 denied injury and had no visible Injury. Family did not want R1 transported to the ER. Facility assessed R1, found no visible injuriies and determined that R1. was at baseline. During the course of the investigation, it was learned that the gardener had come into the gate via a combination lock and let themselves out after they were finished with their duties and did not secure the gate. Resident 1 (R1) left through the unsecured gate and was returned by sheriff to the facility. Staff were unaware that R1 had eloped. During today's visit LPA observed a keyed padlock and audible chime have been added to the memory care gate. LPA advised Executive Director that the facility must obtain a waiver for the locked gate. Executive Director was unsure as to whether the facility already has a waiver. LPA will follow up on the locked gate with administrator. Executive Director has made arrangements for the gardener to check in on arrival, staff will open the gate. The gardener will notify staff when finiished and staff will let them out and secure the gate. Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Appeal rights were provided. Exit interview was conducted and the report was provided to Executive Director Sonya Gonzales.