Incident investigation·April 21, 2023

On 4/21/23 at 1:45pm Licensing Program Analysts (LPAs) Kevin Gould and Brandon Panariello conducted an unannounced Case Management inspection to address concerns regarding a resident elopement that occurred on 4/1/23 and reported to the department on 4/3/23. LPAs reviewed and obtained former resident's LIC 602, physician report dated 3/20/23 which indicates the former resident was unable to leave the facility unassisted. LPA and staff discussed the circumstances of why resident was able to leave the facility unassisted. Staff informed LPAs that resident is difficult to control and had ordered his own taxi to take him to the hospital without staff knowledge. When the taxi arrived resident got into the taxi and left the facility. Staff did attempt to stop the resident but were unable to intervene. Resident did not go to hospital and was reported missing by family. Resident returned to the facility the same day. The following deficiencies are cited per California Code Regulation, TITLE 22. Exit interview was conducted with the facility staff. Appeal Rights were issued, and a copy of this report was left at the facility.