Incident investigation·April 25, 2024

Licensing Program Analyst (LPA) Angela Hood arrived unannounced at the care home today, 4/25/24, and met with the Health and Wellness Director, Sharisse Toves, to conduct a case management visit regarding an incident report received by the Department on 4/15/24. On 4/11/24, resident (R1) was found at a coffee shop down the street from the facility. The coffee shop employee called the police. The police arrived at the coffee shop and used R1's phone to call their responsible party. The police returned R1 back to the facility. No injuries were reported. R1 resides in the assisted living section of the facility and is currently receiving hospice care. On 4/15/24, the Department received R1's Physician's Report LIC602A, dated 7/5/22, which indicated that R1 is unable to leave the facility unassisted. On 4/24/24, the facility conducted an in-service training with all staff regarding missing residents/elopement. As a result of today's visit, a deficiency is being cited pursuant to California Code of Regulations, Title 22, Section 87464(f)(1) regarding care and supervision of residents. The deficiency is listed on the LIC809-D. Exit interview conducted. A copy of this report and appeal rights were provided.