Incident investigation·May 4, 2022

Licensing Program Analysts (LPAs) Kimberly Lyman and Joseph Alejandre conducted an unannounced case management visit to follow up on an incident report submitted to the department on 04/20/2022. LPAs were greeted and granted entry into the facility by Administrator Elena Weiner and explained the reason for the visit. Incident report dated 04/20/2022 indicate Resident 1 was found at Starbucks by Starbucks employees and 911 was called around 6 AM. Anaheim Police responded and notified facility resident was found. R1 was sent out to West Anaheim Medical Center for an evaluation and returned with medication changes. R1 had a one on one caregiver upon return. Resident was sent out the next day to Chapman Global Medical Center for a psychiatric evaluation and returned 05/03/2022 on hospice care. LPAs observed R1 during the visit. Resident appears safe and has a care companion with the resident. Investigation conducted by facility indicated that the resident took a folding chair from the entrance of facility and exited onto the front patio. Resident removed the alarm on the door. Resident climbed over the front gate using the chair for assistance and was then discovered at Starbucks, approximately .9 miles away. Facility has subsequently removed the folding chair from the entrance. Administrator indicated that there were three staff on shift at the conclusion of the NOC shift around 6 AM. Physician report dated 01/31/2022 indicated a diagnosis of Dementia with a history of wandering behavior. Based on the observations made during today's visit, the following violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.