Incident investigation·February 10, 2023

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a case management - incident visit. LPA met with Director of Resident Care Services (DRCS), Gilda Deocares. LPA explained the purpose of the visit was to obtain additional information from an indent report we received for resident (R1). During today's visit, 1 staff member was interviewed. LPA also toured parts of the facility with DRCS to include the front desk, first floor, sixth floor, and exit areas. On 02/06/2023, the Department received an incident report that occurred on 02/05/2023 regarding a resident who eloped from the facility. R1 was found by a police officer and was transported to the hospital for evaluation. No injuries were noted and the resident returned to the community on the same day. The Department received requested documents to include R1's physician's report, assessment and service plans, and training records. Based on record review, R1 is not able to leave the facility unassisted. On 02/06/2023, the facility took proper steps to ensure R1's safety to include contacting the appropriate parties, conducting a re-assessment and evaluation, inspecting the facility grounds, and providing an in-service training to all staff on elopement. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with DRCS, Gilda Deocares and a copy of the report was provided.