Follow-up on corrections·June 3, 2024

LIcensing Program Analysts (LPAs) Macias and Nakagawa arrived unannounced to conduct a case management visit regarding an incident that was reported by the Administrator pertaining to resident (R1) who eloped from the facility on May 15, 2024. During the course of the investigation record review of resident's files, facility records, and observations were made. The Department concluded that the facility did not meet the responsibility for providing care and supervision to R1. Title 22 regulation states that, the licensee shall provide Safety measures to address behaviors such as wandering, as identified in the resident's needs and services plan. According to the Physician's Report from 01/19/2024, R1 had a diagnosis of dementia and unable to leave facility unassisted The Needs and Services Plan states that R1 needed ongoing redirection due to frequent elopement risk. On May 15, 2024 R1 left the facility unassisted and was not discovered until the 8 PM Medication administration. Resident was recovered unharmed by police, staff and family at 8:15 PM approximately 1/2 mile down the street. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided to the Administrator.