Incident investigation·November 12, 2021

On 11/12/2021, Licensing Program Analyst (LPA) A. Walton arrived unannounced to conduct a Case Management – Incident visit. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator, LPA met with Executive Director, Sarah Dennis. The purpose of today’s visit is to follow up on incidents that were reported to the Fresno CCL office. It was reported that on 08/24/2021, facility staff went to R1’s apartment to administer medication. Upon arrival, staff was unable to locate resident. Facility immediately initiated search protocols at approximately 8:45PM. The Police Department (PD) and R1’s responsible party was notified. R1’s family located R1 near Fresno State at approximately 1:35AM. R1 was transported back to the facility by family and returned to the facility at approximately 1:45AM. Based on today’s inspection, a deficiency is being cited in accordance with the California Code of Regulations, Title 22 see attached 809D. An immediate civil penalty is being assessed in the amount of $500 for the absence of supervision. An exit interview was conducted. A plan of correction was reviewed and developed with Executive Director. As a COVID-19 precautionary measure, copy of this report and appeal rights will be provided to Executive Director via email and an electronic read receipt confirms receiving this document.