Follow-up on corrections·November 15, 2024

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and met with Assistant Administrator, Martha Szatmari, and caregiver, Fnu Jahanvi, and stated reason for the inspection. LPA was informed there are currently (5) residents living in the home and (1) resident is under hospice care. LPA observed all residents to be present during the inspection. LPA discussed the incident involving resident (R1) leaving the facility unattended on 10/12/24, at 10:00 am, with both staff present and with Administrator, Noel, by phone. Administrator Designee, Juan Ramirez, also called by phone to discuss the reason for today's inspection and the incident. Today's discussion revealed that (R1) was able to leave the care home through the back patio door and side gate, as the alarm was turned off on the door, and (R2) had left the gate open. Staff (S1) confirmed she was present at the time (R1) left, and she had no idea he went outside, as he was watching television in the common area after breakfast, and she was in an adjacent room. (S1) stated the police arrived at the care home around 10:30 am to request emergency papers for (R1) and to inform staff they would be taking him to the hospital after he was found to have fallen nearby, sustaining a lip laceration and scratches on his head. All interviews confirmed that (R1) had never attempted to leave the care home unattended before, and left because he was looking for his car. Medical documentation shows (R1) has a diagnosis of Dementia and cannot leave the facility unattended. Hospital paperwork shows (R1) was treated for a laceration of lip, head injury, has Dementia and was discharged on 10/12/24 (9:43 pm). The facility completed an incident report and emailed it to the regional office email on 10/22/24, which was inadvertently forwarded to another LPA. The assigned LPA did not receive the report until 11/13/24. The Administrator updated (R1's) care plan on 10/22/24 to reflect a change in mental status requiring resident to need closer supervision. An appointment will be scheduled today with (R1's) primary care physician to discuss any follow up needed. An updated physician's report will be requested again and a copy provided to the Department. Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following (1) deficiency is issued. Exit interview with Assistant Administrator. Copy of report and appeal right given.