Incident investigation·December 8, 2021

Licensing Program Analyst(s)(LPA) Mary Flores conducted an unannounced case management visit regarding incident report fax to the department on 12/7/21.LPA met with Virginia Garcia administrator. On 12/7/21 LPA Flores reviewed incident report stating Resident #1 (R1) was noted missing around 6:00pm. Facility found out R1 left the facility by patio door at 1:30pm. Patio door was open as plumbing contractors were using door to come into the facility and conduct repairs. Facility contacted responsible party and Police Department on 12/2/21. On 12/7/21 LPA Flores requested physician's report, admission agreement, pre-appraisal agreement, needs and care plan, and medication sheet. LPA reviewed R1 physician's report which notes resident is able to leave the facility unattended. During today's visit LPA requested a copy of the police reference number/contact, employee warning notice form for staff #1, and #2, and observed the patio door. Patio door is located to the left of the main entrance, there is a blocked patio with no access to the door and it has a working egress system. Per administrator access was provided to contractors by removing planters and overriding egress system to allow contractors access with equipment on 12/2/21. Per mitigation plan and current COVID guidelines one entry point must be designated for screening, sign in and out. Deficiencies have been noted on LIC 809D under Title 22 Regulations. Exit interview was conducted and a copy of this report, LIC 809D, and appeal rights have been provided.