Incident investigation·September 16, 2024

Licensing Program Analyst Manuel Monter conducted an unannounced case management- Incident visit, regarding an incident report, which reported a resident elopement. LPA with with administrator Ugur (Kurt) Gursu. On September 12 2024, the Department received an incident report, regarding resident R1. The incident report (IR) stated on September 11, 2024, at 8:30am resident R1 had exited thru the delayed egress in the courtyard. The incident report stated that staff responded to the alarms and began a search. The IR also stated, that while the search was underway, the community received a call at 8:50am, that R1 was on a bus. Staff picked up R1 and returned him/her back to the community. On September 16, 2024, LPA's interviewed 4 staff, the facility administrator and resident R1. LPA requested copies of R1's progress notes. LPA also requested a copy of R1's Centrally stored medication record and Medication Administration Log. LPA requested a copy of the delayed egress notification. LPA determined that the above incident requires further investigation. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Ugur (Kurt) Gursu. and a copy of the report was provided.