Follow-up·September 21, 2021

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced case management visit to follow up on an incident report submitted to licensing on 9/20/2021. LPA met with Health & Wellness Director and explained the reason for the visit. Incident report dated 09/15/2021 indicated at 6:00 pm Resident 1 (R1) was found outside the facility by an unidentified person at the business park next door to the facility. The front desk was notified and staff contacted the med tech on duty. The med tech went next door and escorted the resident back to the facility. R1 was assessed and no injuries noted. Per physician report dated 07/21/2021, R1 is diagnosed with Dementia. R1's primary care physician (PCP) and responsible party (RP) were notified. Health & Wellness Director reported R1 was gone from the facility for approximately 10 minutes. Facility delayed egress system is operational. Health & Wellness Director reported that at the time of R1's elopement there was no staff next to the door and staff did not hear the alarm so no one responded to the door alarm. Based on the information provided during today’s visit, the following deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with appeal rights was provided.