complaint·July 7, 2021

On the allegation: Staff did not prevent a resident from wandering while in care. LPA interviewed and collected documentation which revealed staff failed to keep Resident (R1) from leaving the facility unassisted. LIC 602 physicians report was marked R1 was unable to leave the facility unassisted. According to Witness 1's (W1's) interview R1 had a family visit with her family and dog, the family left the visit shortly before dinner time on 06/25/2021. R1 did not sign out and wandered outside the facility undetected for around 30 minutes before staff realized she was not at dinner and began to search facility for R1. Facility staff notified Arroyo Grande Police Department and family. Staff started to search outside of the community and staff was able to locate R1 in the surrounding neighborhood. Staff was able to redirect R1 back to the community. Facility and family set up a care conference for the next day and R1 was taken home by family and eventually relocated to another facility that could met R1's changing needs. Therefore, the allegation is deemed Substantiated at this time. On the allegation: Staff did not properly report an incident regarding a resident to CCL. Based on documentation and interviews the facility staff failed to report the incident to Community Care Licensing (CCL) on R1's wondering without supervision on 05/25/2021. Therefore, the allegation is deemed Substantiated at this time. Exit interview conducted, deficiencies cited, copy of report and appeal rights emailed to Administrator.