Incident investigation·July 31, 2023

Licensing Program Analysts (LPA) David Marrufo and Manuel Monter conducted an unannounced case management visit. The reason for the case management visit is due to an incident report that the facility submitted on 7/25/23. LPA's met with Administrator (ADM) Isabel Eslava. On 7/25/23, the department received an incident report stating that resident (R1) had left the facility at 5:30pm on 7/21/23. Staff waited till midnight but the resident did not return. Incident report states that the staff contacted 911 on 7/26/23. The Incident Report states that R1's conservator contact the facility to let them know that R1 had checked themselves in to Emergency psychiatric services (EPS). The incident report also states that EPS provided a sexual assault rape kit for R1. LPA's reviewed facility records. R1's physicians report that states, R1 is able to leave the facility unassisted. LPA's reviewed admission agreement, including house rules. LPA's reviewed the facility's care giver report regarding R1's previous elopement at this facility on May 23rd 2023. LPA's reviewed facility personnel report. LPA's reviewed R1's Medication Records for the month of July. LPA's interviewed ADM, Staff S1 and S2. S2 was staff member on duty at the facility when resident R1 eloped on 7/21/23. No deficiencies cited during todays visit. A copy of the report was provided to ADM Isabel Eslava.