Follow-up·April 6, 2022

At approximately 1:25PM, Licensing Program Analysts Willis and Felias arrived unannounced to conduct a Case-Management visit and met with Facility Representative, Blaine Lyons. LPAs are conducting additional review regarding incident where, Resident, R1, was observed walking down the street, returning to the community. Per review of R1's LIC-602/Physician's Report, report indicated that resident was not diagnosed with dementia and did not have wandering behavior, however the doctor did determine that resident was unable to be in the community unassisted. Following elopement, resident was reassessed and was moved to a higher level of care. LPAs also followed up on the current situation regarding the Change of Administrator. Facility previously requested a Change of Administrator but was delayed in providing accurate forms to CCL. Based on information received during today's visit, there will be additional changes to the Administrator position. Changes are currently being discussed and CCL will be notified of the changes in accordance with Title 22 Regulation, 87211(g). Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.