Follow-up·March 30, 2022

On 3/30/2022 Licensing Program Analyst (LPA), Murial Han conducted an unannounced case management inspection regarding to a self reported incident that was reported to CCLD on 3/28/2022. LPA Han met with the National Care Director, Jen Johnson, Care Coordinator Director, Shirley Cheung and the administrator, Sarah Laloyan join the inspection shortly after. On 3/28/2022. the facility reported that concierge witnessed resident #1 (R1) was leaving the facility. R1 was wearing a device that alerted facility staff that he/she has left the facility. Therefore, staff #1 (S1) followed R1 out of the facility and staff #2 (S2) met up with them shortly a few blocks away from the facility and both staff escorted R1 back to the facility safely. Staff stated that there was no injuries noted to R1. During today visit, LPA gathered the following information and documents: Physician report, appraisal needs and services plan, and documentation of resident's check status. LPA also interviewed the concierge on duty, the National Care Director and the Care Coordinator Director. This incident needs further follow-up as LPA requested for additional documents to be submitted to CCL by 4/4/2022 and additional staff interviews. Additional documents requested: - Staff Training Records - Revised LIC 624 (Unusual Incident/Injury Report) - Documentation of the incident This report is reviewed and discussed with administrator. A copy is provided.