Complaint·September 26, 2023

indicated that R1 eloped from the facility and was found by neighbors at an elementary school down the street. R1 was returned to the facility and her wander guard was replaced to ensure it is fully charged. Based on interviews with 2 out of 2 residents indicate they have not witnessed any residents wandering out of the facility and staff responds to wander guard alarms quickly. Per interview with S1 wander guards are changed every 3 months and there is a staff member that conducts weekly testing. During LPA Mendivil's follow up visit on 08/22/2023 LPA Mendivil had staff test the wander guard system. LPA Mendivil observed a loud alarm sound when the wander guard was beyond the facility doors. LPA Mendivil observed multiple staff respond to the alarm within 15 seconds. Per interviews with 2 out of 2 staff indicate the resident had wandering behaviors and the wander guard was provided to assist, but the facility is not a memory care or locked facility. Therefore, based on evidence through records reviewed, interviews and observations the allegation resident eloped due to staff negligence, is determined to be SUBSTANTIATED, meaning the complaint allegation is valid and that a violation has occurred. The following is being cited per California Code of Regulations Title 22 Division 6 Chapter 8 on a case management. An exit interview was conducted and a copy of this report and appeal rights was provided to the facility representative. * this report was amended due to technical difficulties.