Facility Evaluation Report

While conducting investigation of a complaint (Control # 15-AS-20211008162448) and upon review of records and interviews, LPA learned that facility did not submit incident report to Community Care Licensing (CCL) when resident (R1) AWOL'ed.

Deficiency is cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of correction by plan of correction due date may result in civil penalty.

Deficiency and plan and proof of correction were discussed with Alanna Spencer.

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.