Facility Evaluation Report

Licensing Program Analysts (LPAs) Elizabeth Irra and Noemi Galarza conducted a Case Management-Deficiencies visit due to an immediate health and safety observation made during today's annual inspection. The purpose of the visit was explained to Administrator Laura Hernandez and receptionist staff Daisy Fitter.

At approximately 10:04 AM, LPA Galarza observed cognitively impaired resident (R1) walking by itself onto oncoming traffic on Baseline Road Street. The front door in the administration building was observed to be opened. Staff (S1) was observed running towards the street in an attempt to redirect the resident. However, the resident did not comply and proceeded to cross the major street onto oncoming traffic. The resident walked westbound passed Mountain Avenue. The Claremont Police Department was driving by and assisted with the elopement incident. The resident and staff were not injured. Pictures were taken.

Resident (R1's) file documents [Identification and Emergency Information, Physician's Report, Functional Capability Assessment, and ALW Individual Service Plan].

Claremont Police Department DR#: 22126477.

Exit interview was held with Administrator Laura Hernandez. A copy of the report and appeal rights were issued.