Incident investigation·July 23, 2021

Licensing Program Analyst (LPA) Kennedy conducted a case management visit regarding an incident report that was received in the office on 7-19-21 for Resident 1 (R1) AWOL. LPA identified herself and explained the purpose of visit to Daniel Slaughter Executive Director. The purpose of this visit was to follow up on the AWOL of Resident 1. (See LIC 811 Confidential Names) During the visit, LPA toured the facility and conducted interviews and reviewed records. When R1 was checked on for evening medications and was not found in their room. This was unusual for R1. A search was convened and R1 was located unharmed about a block away. R1 was disoriented when located. Although R1 was allowed to be in the community unassisted, this behavior was a change in condition. Facility took steps to keep R1 safe and a new assessment in planned. No deficiencies cited today during visit. An exit interview was conducted with Daniel Slaughter Executive Director . A copy of this report along with Licensee Rights (LIC9058 01/2016) was provided to Mr. Slaughter via email. An electronic response confirms the documents were received.