complaint·May 20, 2022

Continued from LIC9099... Per incident report submitted to CCL on 5/11/22. “The morning of 5/8/22 approximately around 3am, R1 hit all the sensor alarms then when they noticed that the caregiver went to use the bathroom, R1 left the facility. Around 5am caregiver noticed that R1 was not in their bedroom, a “policeman” came and told S1 that R1 was found and at the hospital. Licensee was contacted by S1, R1 was picked up from Hospital and responsible parties were notified”. During confidential interviews conducted with facility staff, LPA obtained contradictory information about the incident and it was revealed that S1 who was working the night of the incident did not have a criminal record clearance, they were not associated to the facility and did not have required staff training to be providing care and supervision to residents in care. LPA already addressed criminal record clearance deficiency on a case management conducted on 5/10/22 and civil penalties were issued. On 5/18/2022 LPA obtained a copy of service calls confirming that R1 had wandered away from the facility on 5/9/22 and not on 5/8/22 as reported on incident report submitted to CCL. However, Facility did not follow their AWOL policy and procedures about notify CCL by telephone no later than next working day and it will be address in a case management. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties.