Facility Evaluation Report

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced case management visit to follow up on the incident where a memory care resident was able to leave the facility without staff's knowledge. LPA Yee met with Elizabeth Whittington, Executive Director. The reason for today's visit was provided.

On today's visit, interviews were conducted with the Administrator at 1:05pm, a telephone interview with a family member at 3:54pm, an attempted interview with Resident #1 at 2:49pm and tour of the Memory Care Unit at 2:40pm. Staff schedules and documents were also obtained from Resident #1's file from 1:05pm through 3:35pm.

Based on the information obtained on today's visit, it has been determined that further information is needed to make a determination if the facility took all necessary safety measures to ensure that Resident #1 was not able to leave the Memory Care Unit without Staff's knowledge.