Incident investigation·June 2, 2022

Licensing Program Analyst(LPA) Dina Alviso, conducted a case management-incident inspection, and met with Administrator Derrick Whitacre, and Health Services Director Patricia Lundgren.. LPA reviewed several resident incident reports, and obtained additional information. There were two incidents reported of two memory care residents that wandered out of the memory care unit unsupervised. In review of the incidents and interviews with staff, there will be a deficiency cited for the residents awol/wandering out of the memory care unit unsupervised-Deficiency 87705(b)(2) Care of persons with Dementia-see LIC809D. The following deficiency was cited (see LIC 809D) 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 Rights provided to the Administrator.