Office review·October 18, 2023

An Informal meeting was conducted today in the Santa Rosa Regional Office. Present in the meeting were Licensing Program Manager (LPM) Kimberley Mota, Licensing Program Analyst (LPA), Caitlynn Felias, and Administrator/Executive Director, Shannon Brown, and Health and Wellness Director, Melanie Fenn. The purpose of the Informal meeting was to address an incident that occurred on 09/13/2023 where Resident 1 (R1) went missing during a community outing at approximately 12:45PM. R1 was found safe in a nearby neighborhood at approximately 7:45PM. Items addressed during today’s meeting: · Facility’s procedures regarding community outings, resident elopements and absence without leaves (AWOLs) · Staff Training for residents with dementia and elopements · Incident Report received by Community Care Licensing (CCL) on 10/16/2023. Incident Report received stated that Resident 2 (R2) eloped from the facility on 10/15/2023. R2 was found by local police approximately two blocks away from the facility. Facility made all notifications per regulation. Review of R2’s Physician Report and Care Plan indicated that they are unable to leave the facility unassisted (This deficiency has been cited, see LIC809D and LIC421IM, Regulation 87705(b)(2)). Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. **A Civil Penalty in the amount of $1,000.00 is being issued today due to a repeat violation of Regulation 87705(b)(2) within a 12-month period. (See LIC421IM).** Exit interview conducted. Copy of report, LIC809D, LIC421IM, LIC811 (Confidential Names), Plan of Corrections, and Appeal Rights discussed and provided to Administrator/Executive Director. Signature on form confirms receipt of documents.