Follow-up on corrections·November 16, 2023

Licensing Program Analyst (LPA) De Leon conducted a case management deficiency visit to the facility above. LPA met with Astrid Administrator and explained the purpose of the visit. LPA De Leon received a phone call on 11/02/2023 from the facility self-reporting that Resident 1 (R1) was able to AWOL from the facility and that R1 has been found with no injury and has been returned to the facility. Based on the incident report the facility had visitors and vendors coming in and out of the facility that morning and at some point R1 was able to get out the alarmed gate without being seen. At 9:30am R1 was observed by staff in the living room and at 10:00am R1 was walking in the courtyard. At 11:00am the facility got a call from a neighbor about a ¼ mile up the street that they had found R1 and wanted to know if R1 lived at the facility. The neighbor confirmed the name of R1 and told the facility they had called 911, the ambulance arrived and would transport R1 back to the facility. R1 arrived back at the facility without any injuries. The facility reported to all required parties. The facility immediately put the following safety measures in place for R1: R1's has a project live saver device for tracking and safety, facility implemented 30 minute checks on R1, when the facility has visitors or vendors coming in and out the staff will closely monitor R1 while alarms are off and doors are open, R1 agreed to move to a closer bedroom near the common areas of the facility, R1’s physician was contacted for discussion for managing R1’s wondering behaviors, a ring door bell cam was installed at the gate area where R1 was able to exit, a floor alarm was placed with permission in R1’s room so staff are notified when R1 is leaving R1’s room and staff are being trained on the new protocols for R1. Exit interview conducted, deficiency cited, copy of report and appeal rights printed for Administrator.