Facility Evaluation Report

On 10/12/2022 at 11AM, Licensing Program Analyst (LPA) Jaclyn Avila conducted an unannounced case management visit related to an incident report received by CCLD (Community Care Licensing Division) reporting an AWOL that occurred on 9/10/22. LPA met with Staff Crystal Cumminskey and Administrator Amber Farmer.

The incident report provided that on 9/10/2022 at approximately 4:50PM, facility staff could not located Resident 1 (R1). Staff conducted a search of the interior and exterior of the building to no avail. Incident report states to mitigate the issue, facility will get palliative care more involved to have extra eyes on R1. In addition staff were trained on AWOL procedures and checked on R1 hourly.

The Department spoke with staff who stated R1's Son in law, who is a fireman was in the area for a fire, saw R1 walking down Grand Ave and recognized R1 at which time he brought R1 back to the community. R1 exited the building through the cafe window which leads into the fenced yard for the facility. At the time of the AWOL, the facilities maintenance employee left a perimeter gate to the facility opened. R1 was able to elope through that gate. R1 left undetected for approximately 45 minutes and staff did not know R1 was gone. R1 last eloped from the building approximately 6 months ago through a perimeter gate (ref complaint 25-AS-20220711103123 )

The Department reviewed R1's LIC 602 which indicates R1 has a diagnoses of dementia and is unable to leave the facility unassisted.