Non-compliance follow-up·November 22, 2021

On November 22, 2021, Licensing Program Analyst (LPA) Bethany Mirlohi and Jacob Williams met with Administrator of facility Aboutlife Care Facility, Tatiana Danu, at approximately 10 AM. LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks. Additionally, LPA was screened by staff upon entering the facility. This report is for a case management visit to follow up on a deficiency cited at the facility regarding an incident that occurred on April 16, 2021, in which a resident needing assistance to leave the facility, left the facility grounds unassisted resulting in the resident sustaining an injury. On April 28, 2021, at 10:00 a.m., the Community Care Licensing Division (CCLD) conducted a case management visit. LPA Jasmine McCrory reviewed documentation at the facility, including resident R1’s needs and services plan, hospital discharge paperwork, staff training, Personnel Report (LIC 500), and resident files. Continuation on 809-C. According to incident report provided to the Department on April 19, 2021, R1 left the facility grounds unassisted on April 16, 2021. It is notated that R1 has a diagnosis of Alzheimer’s and, based on medical assessment, is unable to leave the facility unassisted. According to interviews, once staff realized R1 was missing from the facility at 7:49 a.m., staff searched the backyard and nearby streets but could not locate R1. Facility contacted local law enforcement to report R1’s elopement. At 8:20 a.m., local law enforcement reported to the facility that R1 was found by a pedestrian lying on the ground approximately 1.4 miles away from the facility. R1 appeared to be injured and the pedestrian called for an emergency ambulance. R1 was transported to a local hospital where R1 was treated for an injury with lacerations that required sutures. R1 was admitted to the hospital for injuries on April 16, 2021, and was discharged back to the facility on April 17, 2021. Based on the investigation findings, the facility did not provide proper care and supervision to R1 in accordance with R1s’ needs and service plan, resulting in R1 sustaining injuries while eloping from the facility. A deficiency was cited for violating California Code of Regulations, Title 22 Division 6, Chapter 8, regulation § 87468.2(a)(4) - In addition to the rights listed in § 87468.1, Personal Rights of Residents in All Facilities, resident in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. Continuation on 809-C. At the time of the complaint visit, an immediate civil penalty of $500 was issued and the licensee was informed that an additional civil penalty was still being determined and might be assessed based on Health and Safety Code § 1569.49. Today, 11/22/21, the Department will be issuing a civil penalty per Health and Safety Code 1569.49, in the amount of $9,500 ($10,000.00 less $500.00 previously issued on April 28, 2021). An exit interview was conducted and a copy of the report of the report was issued. Appeal rights provided. Tatiana Danu signature on this report acknowledges receipt of these rights, found on page 2 of the LIC 421D.