Follow-up on corrections·August 20, 2024

Licensing Program Analyst (LPA) Hansen arrived unannounced at facility to conduct a case management and met with Elizabeth Alfaro, Business Office Director (BOD) as Administrator, John Beltz was not available. The purpose of this case management inspection is to follow up on a self-reported incident report submitted to Community Care Licensing (CCL). On 6/14/2024 CCL received an incident report form reporting on 6/11/2024 at approximately 4:45pm resident (R1) had eloped from community. Facility staff conducted search at 4:50pm, after not locating R1 in facility staff left in car and at the same time as Law Enforcement located R1 two intersections away laying on the lawn at approximately 5:20pm. Report indicates R1 sustained 2 skin tears on left hand with bruise on palm. 911 contacted after returning to community. EMT’s evaluated & cleared for resident to remain at facility. Staff informed, R1 left through back egress gate of facility memory care unit. LPA obtained records indicating R1 has diagnosis of dementia and is not to leave facility unassisted. Interview with staff informed R1 exit seeks. LPA is issuing a citation today for R1 eloping from facility without staff knowledge on 6/11/2024. *******Total Civil Penalties issued today in the amount of $250.00 A $250.00 civil penalty is being issued for 2 nd citation in less then 12 months for the same violation 87705(b)(2). Previous citation 2/1/2024. Appeal Rights Given The following deficiencies were observed (see LIC 9099D) 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.