complaint·September 22, 2022

(Continuation from Page 1) Based on October 21,2020 Physician’s Report, Resident 1 (R1) had primary diagnosis as previously stated. R1 was determined to have no wandering behavior and able to leave the facility unassisted. R1 remained under conservatorship. On November 12, 2020 about 4:12 PM, R1 got out of the facility unassisted. No sign out log was completed. No staff member observed R1 exited the facility. About 4:30 PM, R1 was witnessed to be at the intersection of Brookhurst and Cerritos Avenue, (estimated to be about 1.4 miles from the facility) Based on medical records, R1 was brought in the emergency department of a hospital at 6:59 PM via an ambulance. Per history provided, R1 tripped and had a ground level fall with loss of consciousness for unspecified duration. R1 was eventually admitted for further evaluation and management. It was on November 13, 2020 5:24 AM, a missing person report was made to the police department. Based on the above findings, the preponderance of the evidence standard has been met. Therefore, the above allegation is found SUBSTANTIATED. Deficiency had been observed. Citation is issued per Title 22 Division 6 of the California Code of Regulations. LPA Marin conducted an exit interview with AD Glen Goldsmith. Copies of this report, deficiency page, civil penalty assessment form, appeal rights, and cited regulation were left in the facility.