Incident investigation·May 5, 2021

Licensing Program Analyst (LPA) Angela Elliott, LPA Shannan Hansen, and LPA Erik Gonzalez-Campos, conducted a case management tele-visit with Paul Oseso, General Manager and Rencelli Famularcarno, Health Services Director. It is being conducted via tele-visit due to COVID - 19 precautions. Community Care Licensing (CCL) received an incident report on 4/28/2021 for an incident occurring on 4/26/2021 for R1. Around 7:15 PM R1 was noted to be missing. R1's Wanderguard device was attached to their walker. Staff found R1 in an adjacent business' parking lot next door to the facility. A couple from the community was on the phone with the police at the time trying to find R1 help. R1 rode back to the facility at 7:30 PM, was assessed and determined to have no injuries. According to Paul, facility spoke with R1's doctor the day after the incident and there were no new orders. Paul indicated R1 does go out for dialysis but has a 1:1 during that time and this will continue when she goes out. Paul indicated because the Wanderguard was on R1's walker the alarm did not sound when they left the facility. LPA requested copies of facility's AWOL policy/protocol, Wanderguard policy/protocol and R1's care plan and LIC 602. LPA requested documentation. No citations issued for deficiencies at this time. Signature on file.