Incident investigation·August 19, 2024

On 8/19/2024 at 12:00pm Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a case management visit as a result of an Unusual Incident Report received 8/09/2024. LPA met with Regional Operations Specialist, Pari Manouchehri and Health Service Director, Anlisse Ramirez and explained the purpose of the visit. The current census is 140. On 9/9/2024 the department received an unusual incident report that stated " Resident (R1) was climbing walls outside the community and entering neighboring homes. (R1) was not responding to staff while running into the street. (R1) was jumping on parked cars; jumped into a car and was flipping off staff and passersby. Resident had just moved in less than 24 hours prior and had a clear 602, assessment and smooth move in. (R1's) behaviors were a direct contradiction to the totality of information gathered prior to move in." LPA reviewed R1's 602 (Physicians report). The 602 stated that R1 could leave unassisted and R1 was independent. R1 did not sustain any injuries. R1 has since been diagnosed with unspecified Schizophrenia and no longer resides at the facility. On 8/3/2024 and 8/6/2024 the facility retrained staff on elopement procedures. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.