Facility Evaluation Report

On 8/16/2021 at 1:01PM, Licensing Program Analysts (LPAs) G. Luk and G. Clark arrived unannounced to conduct a case management inspection in regards to incident report received on 8/9/2021. LPAs met with Executive Director, Rammy Kaur.

Incident report dated 8/9/2021 revealed that R1 AWOL and facility notified law enforcement and R1's responsible party. R1 was found by police and was taken to Kaiser Hospital.

Interview with S1 revealed that R1 left the facility during the evening time when staff was exiting the building. S1 stated R1 was found by the police and taken to Kaiser Hospital. Family member took R1 back home and returned to the facility on Friday.

During record review, LPAs observed that physician's report dated 4/1/2021 stated that R1 cannot leave the facility unassisted.

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalty.

Exit interview conducted. A copy of this report and appeal rights provided.