complaint·September 11, 2024

Resident eloped from the facility due to lack of care or supervision from staff – SUBSTANTIATED. It was reported that Resident 1 (R1) eloped from the facility's memory care unit. Staff were not aware that R1 had eloped from the facility. LPA reviewed a text message from a community member who states R1 was seen wandering in the parking lot of Oroville Hospital at 9:30 AM on 09/08/2024. At 10:00 AM the community member saw R1 near Highway 162. The community member called 911 at that time. A report from Oroville Police Department (OPD) dated 09/08/2024 10:00 AM recorded this telephone call. LPA reviewed a discharge summary from Oroville Hospital dated 09/08/2024 10:59 AM. LPA reviewed LIC602 Physicians Report for R1 which states they are unable to leave the facility unassisted. Executive Director (ED) stated On 09/08/2024 at 10:52 AM staff stated that they received a telephone call from Oroville Hospital notifying that R1 was ready to be picked up. Until that point staff were unaware that R1 had eloped from the facility. It was determined that R1 eloped from the facility without staff being aware and was out of the facility for a significant amount of time, unknown to staff. It is unknown how R1 eloped from the facility. R1 was uninjured as a result of the elopement. This allegation is substantiated. Upon inspection of the facility’s compliance history, LPA determined that the licensee was issued a deficiency for the same violation within the past 12 months. As a result, a civil penalty was assessed in the amount of $250.00 on 09/11/2024 on the attached LIC421FC. 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.