Follow-up on corrections·February 2, 2022

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Almavia of San Rafael for the purpose of conducting a Case Management-Deficiency inspection. LPA Sarangi met with Administrator, Angela Boucher-Tourin, and was granted access into the facility. Department learned via a Special Incident Report (SIR) that on 01/01/2022 resident (R1) left the facility unassisted at 12:48 PM and was found by Local Law Enforcement at a nearby gas station at 01:50 PM. Resident physician's report dated for 05/20/2021 states that resident has a diagnosis of dementia and not allowed to leave facility unassisted. (see copies, LIC 809-D) All staff received training regarding residents and elopement. Resident (R1) came back to facility unharmed a few days later due to being in the care of the Responsible Party. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided to the Administrator.