Facility Evaluation Report

On May 16, 2024, Licensing Program Analyst (LPA) Murial Han conducted an unannounced case management visit to follow-up with an incident that was reported by the facility. LPA met with the administrator and explained the purpose of today's visit.

On May 10, 2024, the facility reported resident #1 (R1) AWOL (Absent Without Official Leave), R1 was found by the local law enforcement at the neighbor's yard and R1 was escorted back to the facility by the officer.

Facility conducted assessment and R1 did not sustained any injuries.

During today's visit, LPA interviewed the administrator who stated that R1 has a history of AWOL prior to R1's admission but has never had any attempts of AWOL except for this incident. The administrator stated that the facility did not install any security/auditory devices prior to this incident, but since the incident, auditory devices were installed on exit doors.

LPA toured the facility and observed auditory devices were install on 2 resident's rooms, the front door and the sliding door by the dining room.

Deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D.

Failure to correct the deficiencies may result in civil penalties.

This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.