Facility Evaluation Report

On 07/22/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct a case management visit LPA met with Facility Designated Representative (FDR), Christina Goforth and explained the purpose of the visit. LPA learned that the Facility Designated Administrator (FDA) was unable to come to the facility at this time however was available via phone. The purpose of this visit was to follow up on an incident report that was received by the Department on 07/15/2024.

Current Census was 108. A brief interview was conducted with FDR Goforth and FDA Priya Lal via telephone.

Based on the incident report received by the department on 07/15/2024, it was reported by this facility that on 07/15/2024, at approximately 7:55pm, a hospice aide came into the facility to assist R1 with their shower. Upon arrival to R1's bedroom it was found that the resident was not present and a search around the memory care area was conducted. During this search the resident was not found. At 8:00pm the facility initiated the elopement policy by calling Tracy Police Department and notifying them of a missing resident. At approximately, 8:45pm, Tracy Police Department notified the facility that they have located R1 about .3 miles away from the facility and was able to return back to the facility.

Based on interviews conducted it was learned that around on 07/15/2024 at 7:00pm staff was notified that the back gate door was opened indicating that someone was attempting to leave the facility. Staff immediately went to the back door and found one resident. The staff redirected the one resident back to a common area, however did not conduct an interior and exterior search and head count of the residents in memory care. In addition, staff assisting this resident admitted that they did not follow the facilities elopement policy by assuming that there was only one resident attempting to the leave the facility and did not conduct a search of the facility and an initial head count of all residents.