Follow-up·April 18, 2025

On 4/18/2025 at approximately 11:15AM, while at the facility on an unrelated complaint investigation LPA A Gomez conducted a case management visit. LPA met with Executive Director, Lola Bullock and explained the purpose of the visit. Upon arrival at the facility LPA met with Executive Director (ED) Lola Bullock and the ED disclosed to LPA that on 4/17/2025 at approximately 6:00PM R1 left the facility in their wheelchair and tried to roll themselves into traffic. ED states R1 is unable to leave the facility unassisted according to their physicians report and that when R1 exited the facility the front desk and other staff followed to ensure their safety. ED states that R1 has a history of suicidal ideations and provided LPA with substantiating documentation. ED notified the police and had R1 transferred to the hospital to be put on a 5150 hold. ED states that due to R1's continues attempts at self harm that they are requiring a 1 on 1 supervision in order for R1 to return to the facility to ensure the safety of the resident. At the beginning of the visit ED informed LPA that R1 is currently at the hospital and LPA advised ED to notify R1's responsible party and update R1's care plan for return. LPA observed that R1's 602 dated 10/4/2023 states that R1 has a history of depression, suicide, and elopement. While at the visit ED received an update that R1's family has decided to move R1 to a facility with a higher level of care. LPA requested to be informed of any updates. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.