Follow-up on corrections·May 15, 2024

On 05/15/2024, Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced Case Management-Deficiencies visit. LPA arrived at the facility, met with Licensee/Administrator Alan Flojo, and announced the purpose of the visit. On 03/07/2024, a resident fainted while at the facility, and fell causing head trauma. The resident went to the hospital overnight and was diagnosed with a sustained hematoma and concussion. The hospital cleared the resident to leave the next day; the resident returned to the facility on 03/08/2024. On 03/08/2024, the same resident wandered away/eloped from the facility through the front door. A neighbor down the street saw the resident sitting on their front lawn and called law enforcement. The resident was returned to the facility after the elopement by law enforcement on 03/08/2024. For both incidents, the licensing agency did not receive any incident reports or any telephone communication from the facility. On 04/11/2024, LPA interviewed Staff members as well as the Licensee/Administrator about the lack of received Incident Reports to the licensing agency regarding either the incident on 03/07/2024 or 03/08/2024 occurring in the facility. The Licensee/Administrator stated that there were no Incident Reports submitted to Licensing for either the 03/07/2024 incident or the 03/08/2024 incident occurring in the facility. The facility will be cited for deficiencies regarding Reporting Requirements to the licensing agency. Exit interview conducted, a copy of this report was provided to the facility.