Incident investigation·May 27, 2022

LPA Jeung observed memory care client who resides in room 2103A, and observed location of the room on the 2nd floor--identified as the 1st floor. As per Incident Report submitted to CCLD, client left building unattended on 3/13/22, and was found an hour later, at his residence, less than a mile away. Given that he resides on the 2nd floor--and the elevator can only be accessed by entering a code and there is a 30-second delayed egress on the ground floor--staff are unable to determine how resident was able to get to the ground floor and exit the building. Physician's Report and updated Service Plans were submitted to LPA upon request and reviewed. In addition, documentation of staff participation in an Elopement Drill was submitted. No deficiency cited.