Incident investigation·March 5, 2024

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Med Receptionist Eveline Denton. Today's visit was in response to an LIC624 Incident Report, which licensee self-submitted to the CCLD San Diego Regional Office (received on 03/04/2024). According to the LIC624: on 02/29/24, Resident #1 (R1) left the facility and did not return. [See LIC 811 Confidential Names List for a description of R1.] As of today’s (03/05/24) licensing visit, R1 has not yet returned to the facility. LPA performed a facility tour and welfare check on the other remaining clients in care, finding no immediate safety concerns. LPA also reviewed pertinent records and interviewed relevant staff and residents. According to R1’s latest LIC602 Physician’s Report (dated 08/31/22): R1’s primary diagnosis is schizophrenia. Their doctor determined that R1 was able to safely leave the facility unassisted. Interview with staff and residents did not reveal any information regarding changes in condition or issues with medication management. The facility Administrator filed a missing person's report with the local police department immediately. CCLD concluded: The Administrator followed appropriate CCLD regulatory protocols and reported the incident to the appropriate agencies and authorities. No deficiencies were cited for the above incident. No deficiencies were observed or cited during today's visit. An exit interview was conducted with Eveline, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.