Incident investigation·May 10, 2022

Licensing Program Analyst (LPA) Marybeth Donovan conducted a case management visit regarding an incident involving resident (R1) elopement from the facility. LPA met with Angelina Escobar Administrator and toured the facility inside and out. Incident report states on 4/21/22 R1 was gardening in the backyard at 1:45pm. At 2:00pm staff did not see R1 in the backyard and went searching for R1. Administrator called the police to report a missing person. Police arrived at the home to take a report, when S1 called and reported S1 found. R1 was one block away. The police called 911 and R1 was transported to the hospital. R1 sustained injuries to face and hand. R1 was discharged back to the facility at 10:00pm with instructions to follow up with medical doctors. On 5/10/2022 stiches above right eye removed. The Administrator understood no Police Report was written. R1 had resided at the facility for approximately 2 months. R1's family home is located a couple of blocks away. On one occasion after R1 moved in, he wanted to visit his family home and was shadowed by staff . Staff remind R1 that he cannot not leave the facility without staff but to let them know and staff will make arrangements for R1 to go out. R1 stated that R1 wanted to get something to eat, so R1 left the facility and had a fall. LPA advised the Department will review the information provided to conclude the incident case management. This report was reviewed with Angelina Escobar Administrator and a copy provided.