complaint·September 20, 2021

collected copies of the following documents: Glen Park at Glendale - Mariposa Internal Incident Report dated 6/1/21, Physician's Report for Residential Care Facilities for the Elderly (LIC602A) dated 3/11/20 and 6/10/21, Appraisal/ Needs and Services Plan (LIC625) dated 7/14/20 and 3/6/21, Preplacement Appraisal Information dated 3/1/19, Resident Appraisal dated 3/2/19 and Functional Capability Assessment dated 3/1/19. LPA additionally attempted to interview R8's responsible party. The investigation revealed the following: Regarding allegation, Lack of supervision resulting in resident eloping from facility , it is alleged Glendale Police Department officer was dispatched to a business on 10/22/20 at approximately 2:45pm due to a report of a lost elderly person (R8). Glendale PD officer stated that store employee reported to officer that R8 walked into the business and told the employee that they were lost. Upon contact with R8, the resident was not able to provide the officer with their birthday, where they where or where they lived and R8 did not have any contact information for family. Glendale PD officer called the facility at approximately 3:33pm to inquire if R8 was missing and was advised by a facility employee that R8 was missing. Officer stated that it appeared that facility staff were not aware that R8 was missing. Interview with Office Manager Leticia Flores revealed that R8 was missing from the facility on 10/22/20 when Glendale PD officer called to inquire if R8 was a resident of the facility. Ms. Flores stated that R8 exhibited exit seeking behaviors especially in the afternoon. Ms. Flores stated that facility staff would regularly redirect R8 and R8 would not succeed in their attempt to elope but on 10/22/20 as the facility was receiving their delivery of groceries the delivery truck parked in an area that blocked the camera view and facility office staff did not see R8 exit the facility. Office Manager stated that R8 was transferred to Glen Park at Glendale - Boynton St due to resident requiring more supervision due to increased exit seeking behavior and also needing a higher level of care. Office Manager Flores stated that since that incident the deliveries are made in an area that does not block camera footage and a staff stands at the gate until delivery is complete to ensure that residents do not exit the facility. Based on interview conducted with facility staff and and LPA review documents, the preponderance of evidence standard has been met; therefore, the above mentioned allegation is found to be SUBSTANTIATED. Pursuant to the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency was observed and cited during the visit. (Refer to LIC 9099D). Exit interview was conducted with Assistant Administrator Rachel De Chavez. A copy of the report and appeal rights were provided to Assistant Administrator.