Follow-up·September 27, 2024

On September 27, 2024, Licensing Program Analyst (LPA) John Calandra arrived at the facility to conduct an unannounced Case Management visit to follow up on an incident report sent by the facility to the department on September 5, 2024, in which R1 left the facility unassisted. LPA Calandra was greeted by Dionisio Rigor, Caretaker and explained the purpose of the visit. Delphine Williams, Administrator/Licensee and Mark Williams, Administrator arrived later during the visit. Based upon review of R1’s records, LPA Calandra found that R1 has a primary diagnosis of Alzheimer’s and is not cleared to leave the facility unassisted by the physician. Thus, R1 should not have been able to wander away from the facility. LPA and Administrator discussed several items including staff training plans, and other preventative measures in order to prevent further incidents of wandering from occurring. A Type A violation was provided for not ensuring the facility’s plan of operations addresses safety measures to address behaviors such as wandering and aggressive behaviors. The deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. An exit interview was conducted. This report was reviewed with Delphine Williams, Administrator/Licensee and Mark Williams, Administrator, and a copy of the report along with Appeal Rights left at the facility.