Incident investigation·August 28, 2024

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Case Management - Incident visit. LPA was welcomed by and identified herself to Executive Director Joey Collado Jr.. LPA then met and discussed the purpose of the visit with Memory Care Director Marie Lou Fikingas. Today's visit was in response to an LIC624 Incident Report, which licensee self-submitted to the CCLD San Diego Regional Office (received on 8/19/2024). According to the LIC624: on 8/18/2024, Resident #1 (R1) went AWOL (absent without leave) from the facility. [See LIC 811 Confidential Names List for a description of R1.] As of today’s (08/28/2024) licensing visit, R1 is living in the memory care unit of the facility. LPA observed R1 is safe and unharmed. LPA also reviewed pertinent records and interviewed relevant staff. According to R1’s latest LIC602 Physician’s Report (dated 1/26/2024): R1’s primary diagnoses is Dementia with behavioral disturbances. Doctor determined that R1 is not able to safely leave the facility unassisted. Records and interviews revealed: R1 had lived at the facility for around two (2) years, and this was R1’s first AWOL incident since moving in. According to the facility’s Absentee Notification Plan/Policy: When a client such as R1 is AWOL from the facility, staff are to search the “surrounding area.” After the unsuccessful search, staff are to notify the administrator or the Resident Service Director. Immediately contact and then law enforcement. The procedure was followed. [Continued 809-C] [Continued form 809] CCLD concluded: Facility staff provided needed supervision to R1 leading up to the AWOL. Licensee had a written Absentee Notification Plan as part of R1’s record of care, and staff followed this plan. No deficiencies were cited for the above incident. No deficiencies were observed or cited during today's visit. An exit interview was conducted with Executive Director Joey Collado Jr., 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.