Follow-up on corrections·March 8, 2024

At 8:30 a.m. on 03/08/2024, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with staff and later the administrator and disclosed the reason for the visit. LPA was joined by Long Term Care Ombudsman (LTCO) Diane Torres at 9:00 a.m. Today’s case management visit was conducted after the administrator submitted a report stating Resident #1 (R1) left the facility unsupervised at approximately 5:00 a.m. on 02/25/2024. The facility reported the incident properly to all appropriate parties and followed the plan of operations for missing residents. The administrator explained the details of the incident to LPA during a phone call at approximately 9:00 a.m. on 02/26/2024. The administrator also revealed that R1’s most recent medical assessment stated R1 was not able to leave the facility unsupervised. The administrator stated Staff #1 (S1) and Staff #2 (S2) searched for R1 but could not find them. R1 was eventually found at the Veteran’s Affairs (VA) office in Long Beach. Due to the absence of supervision of R1, the facility is cited a deficiency on the attached LIC 809-D page and issued an immediate civil penalty of $500 pursuant to California Code of Regulations 87646(d). Exit interview conducted. Appeal rights discussed. Copy of report provided.