Incident investigation·January 18, 2024

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced case management visit regarding an Incident Report sent the Department. LPA met with Administrator (ADM) Matthew Zahodne and stated the purpose of the visit. On 1/11/2024, the Department received an Incident Report for resident (R1) for an incident which occurred on 1/6/2024 where R1 climbed out of his/her bedroom window and was found walking outside of the back of the building. During today's visit, LPA Rai conducted 4 interviews with staff, (S1-S3) including ADM. LPA reviewed R1's records to include R1's Appraisal 11/2/2023, Functional Capability 11/2/2023, Appraisal/Needs and Services Plan dated 12/18/2023 & 1/6/2023 and Physician's Report dated 11/1/2023 & 12/13/2023. LPA Rai reviewed R1 is not able to leave the facility unattended and R1 is diagnosed with Dementia. LPA Rai observed R1's current room and observed window stoppers placed in the window. ADM stated the maintenance team will be placing window stoppers on all windows in the Memory Care Department. No deficiencies were cited at this time as per California Code of Regulations Title 22. Technical Assistance and Technical Violation was provided. This report was reviewed with Administrator Matthew Zahodne and a copy of the report was provided.