Incident investigation·October 19, 2022

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a Case Management visit regarding an AWOL that occurred on 09/20/2022 and was greeted by staff Philomene Desire, Cleda Odiwe (Licensee) was available by phone and gave authorization for staff to sign the report. On 9/22/22 CCL received a self-incident report reporting resident's (R1) AWOL. Per incident report, on 9/20/22 R1 suddenly left the facility around 1pm. Licensee and staff followed R1 and asked them to return to the facility, but R1 refused then Licensee contacted a family member by phone and resident refused again to talk to them. Licensee contacted LPA Fernandes-Goes who advise them to contact the Police. At approximate 2:20pm, R1 got a taxicab from the North Bay Cooperative Service to return to their home. Per R1's responsible party, R1 was reported safe at their house. During today's visit LPA obtained pertinent documents and conducted confidential interviews with staff. Per Physician's report dated 8/10/2022, R1 is able to leave the facility unassisted. Facility staff followed all the proper procedures, they also remained with resident at all times until they got the taxi and contacted responsible parties including CCL to notify them about the incident. At approximate 10:30am, LPA/staff observed staff (S1) was providing care to residents at the facility and was not associated to the facility. LPA informed Licensee that S1 is not associated to facility and should never be working and providing care to residents prior to a criminal record clearance or exemption. Civil penalties are being assessed in the amount of $100 per day for allowing a person to work, reside or volunteer in the facility without a fingerprint clearance. Also, during walk through the facility, LPA/staff observed two out of two fire extinguishers were not charged and serviced since June 2021. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. ***Civil Penalty is being assessed for the amount of $100 per day for Criminal record clearance. Exit interview was conducted with Licensee via phone and a copy of report was given to staff.