Incident investigation·August 28, 2024

Licensing Program Analyst (LPA) Manuel Monter and Marcela Yanez conducted an unannounced case management visit in regards an incident report, which stated a resident had eloped from the facility. LPA's met with Administrator Gregory Becker. LPA's explained the purpose of the visit. On August 26, 2024, the Department received an incident report, regarding resident R1. The incident report stated on August 20, 2024, at 12:10am, staff noted that resident R1 was not in his/her bedroom. Staff conducted immediately conducted a census of all memory care residents to account for the whereabouts of R1. During the census, local law enforcement arrived with resident R1, who was found outside the facility. On August 28, 2024, LPA's interviewed staff S1-S9, and facility Memory Care Director. LPA's also interviewed resident R1. LPA's obtained copies of R1's progress notes, physician's report, needs and services plan. LPA's requested a copy of R1's Centrally stored medication record and Medication Administration Log. LPAs 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 Gregory Becker and a copy of the report was provided.