Incident investigation·December 29, 2023

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Case Management - Incident visit. LPA was welcomed by and identified himself to Wellness Director Cecy Salomon. LPA then met and discussed the purpose of the visit with Wellness Director Cecy Salomon. Today's visit was in response to an LIC624 Incident Report, which licensee self-submitted to the CCLD San Diego Regional Office (received on 12/28/2023). According to the LIC624: on 12/26/2023, Client #1 (C1) went AWOL (absent without leave) from the facility. [See LIC 811 Confidential Names List for a description of C1.] As of today’s (12/29/2023) licensing visit, C1 has not yet returned to Paradise Valley Manor. LPA also reviewed pertinent records and interviewed relevant staff. According to C1’s latest LIC602 Physician’s Report (dated 4/24/2023): C1’s primary diagnoses were HTN, CHF and DM and difficulty walking. No Psychiatric issues are noted. Doctor determined that C1 is not able to safely leave the facility unassisted because is wheelchair dependent. Records and interviews revealed: C1 had lived at the facility for around two (2) years, and this was C1’s first AWOL incident since moving in. He is own responsible party. According to the facility’s Absentee Notification Plan/Policy: When a client such as C1 is AWOL from the facility, staff are to search the “surrounding area.” After the unsuccessful search, staff are to notify the administrator or the Wellness Director and then law enforcement. The procedure was followed. [Continued 809-C] [Continued form 809] Facility staff conducted a search of the surrounding neighborhood(s) via automobile and walking. After one and half (1 ½) hours of unsuccessful searching, the Wellness Director filed a missing person’s report with law enforcement. The National City police department called Wellness Director Salomon and asked for descriptive information. A helicopter was dispatched. Around 1:00 am the police department called to report they were unable to locate C1. CCLD concluded: Facility staff provided needed supervision to C1 leading up to the AWOL. Licensee had a written Absentee Notification Plan as part of C1’s record of care, and staff followed this plan. No deficiencies were cited at this time for the above incident. No deficiencies were observed or cited during today's visit. An exit interview was conducted with Wellness Director Salomon, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.