Incident investigation·February 25, 2022

Licensing Program Analyst (LPA) Debbie Correia, conducted an unannounced Case Management visit. LPA identified herself, was granted entrance into the facility, met with Administrator Kandy Duchareme-Franklin and disclosed the purpose of the visit. The purpose of the visit was to discuss an incident report which was received in our office on February 24, 2022 regarding a Resident (R1) AWOL. The Incident Report indicates R1 was found missing during a resident check at 1:00 PM. R1 was checked on by Staff (S1) at 11:30 AM, and was last seen when speaking to another Staff (S2) member at 11:50 AM. At the same time staff called 911 to report R1 missing another Staff (S3) located R1 down the street among a group of people approximately two blocks away from the facility. Upon returning to the facility R1 self disclosed being intoxicated and was displaying erratic behavior. At 3:45 PM the El Cajon Police Department (ECPD) came back to the facility and deemed R1 a danger to themselves and/or others and transported R1 to a psychiatric hospital. R1 remained at the hospital until February 22, 2022 and returned to the facility at their baseline behavior. All appropriate parties were notified of the incident and a care plan was created to address the AWOL occurrence. There were no deficiencies cited during today's visit. This report was discussed with Administrator Duchareme-Franklin. A copy along with Licensee Rights (01/2016) was emailed to the Administrator after the conclusion of the visit. An electronic response confirms the receipt of these documents.