Follow-up on corrections·August 4, 2023

On 8/4/23 Licensing Program Analyst (LPA) M. Garza arrived at facility to complete an unannounced case management visit. LPA met with Administrator, Alex, introduced self, explained reason for visit and was permitted entry into the facility. LPA completed a health and safety check on residents in care. LPA observed residents in common areas and in private rooms. Case management is being completed on an incident that occurred 1/27/23 where R1 jumped a fence and AWOL'd from the facility. Physicians report dated 12/20/23 stated that R1 was "able to leave the facility unassisted". CCL received a Special Incident report stating that on 3/9/23 R1, jumped the fence and AWOL'd from the facility resulting in injury and requiring medical attention. Physicians Report dated 2/17/23 stated that R1 was "not able to leave the facility unassisted". This posed an immediate health, safety and or personal rights risk to resident in care. Deficiency cited per Title 22 for the absence of care and supervision on the attached LIC 809D. Immediate civil penalty assessed. Exit interview completed with Administrator, Alex. A copy of this report, appeal rights and civil penalty provided.