Incident investigation·August 26, 2022

On 8-26-22 at 2:30pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit for an incident which occurred on 8-19-22. LPA met with Lucky Kaur and explained the purpose of the visit. Administrator Anuradha Saini was contacted by phone and LPA explained purpose of the visit. Administrator gave permission for Lucky to sign in her absence. LPA reviewed incident report dated 8-19-22 and interviewed staff1 (S1). Based on interview and record review, it was determined that resident1 (R1) eloped from facility on 8-19-22 at approximately 7:10pm. Facility staff searched surrounding areas, but unable to locate R1. Facility staff filed police report and were later notified by police that R1 had been found and taken to hospital. Incident report and interview also revealed that a staff member was sent to hospital to sit with R1 once learning of R1’s whereabouts. Based on interviews and record review, it is determined that facility was unaware of R1’s whereabouts on 8-19-22 between 7:10pm and approximately 4:00pm on 8-20-22, resulting in an absence of supervision for R1. As a result, deficiencies are cited under Health and Safety Code, Chapter 3.2. In addition to citation issued, an immediate civil penalty in the amount of $500 is issued due to violation resulting in absence of supervision. An exit interview was conducted with Lucky Kaur and a copy of this report was left with Lucky. Appeal rights provided.