Incident investigation·October 25, 2021

Licensing Program Analyst (LPA), Patrick Shanahan, arrived at the facility in response to an Incident Report received in the CCL office on 10/18/2021. Upon entry, the LPA's temperature was taken and covid 19 questions were asked. The administrator was called and came to the facility at around 10:15 AM. The LPA explained to the staff that the LPA was at the facility in regard to an elopement of a resident (R1) that was reported to the community care office. Staff indicated that R1 had got up late at night and had opened the sliding door in R1's room and had walked away from the facility. At 10:00 AM, LPA tested all doors and sliding doors to ensure that the alarms were functioning properly. Rooms 1 and 2 were observed to have sliding doors and the alarm did not go off when the LPA tested them. At 10:45 AM, the administrator showed the LPA that the sliding doors need to be completely closed for the alarm to set. Once the administrator opened and closed the door, the alarms did work. The LPA explained that the door alarms need to be functional, regardless of how the door is closed and that their can't be some type of trick to set the alarm. At the time of the elopement, there were two staff at the facility. Both staff denied hearing the alarm go off and realized R1 was not in the room while conducting hourly checks. The police were immediately informed and so were R1's responsible party and the administrator. R1 was located a short while later and returned to the facility. No further information gained. Exit interview conducted, deficiencies cited and report issued.