Incident investigation·March 21, 2024

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced case management visit today. LPA Rai met with Licensee, Neeru Verma and stated purpose of today's visit. The purpose of the case management visit was to follow up on an incident which occurred on 2/26/2024 at 4:45pm when resident (R1) left the facility unassisted. Per Incident Report, the facility received a phone call from R1's child stating R1 was found by the local law enforcement officers. The incident was reported to the Department via Unusual Incident Report on 2/28/2024. LPA Rai interviewed 2 staff at the facility (LIC & S1). LIC stated the R1 is a Memory Care resident and is unable to leave the facility unassisted as stated in their LIC 602 Physician's Report dated 10/12/2023. LIC stated the resident left the facility from the front door, following after the LIC, wherein the alarm sensor did not capture resident leaving the facility. S1 stated the facility staff were not aware of resident leaving the facility. Facilty staff conducted a routine safety check and it was assessed the resident was not present at the facility. S1 stated the resident left the facility in between the status checks conducted by staff. S1 stated the staff conducted 30 minute status checks on the resident due to the wandering behavior. S1 stated the staff alerted LIC, resident's family and the local law enforcement agency. S1 stated the resident was found 0.2 miles away from the facility by the local law enforcement officer and resident's family member brought resident back to the facilty. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 809-D. Exit interview was conducted with Licensee, Neeru Verma and a copy of this report was provided. Appeal Rights were provided.