Facility Evaluation Report

LIcensing Program Analyst Jill Nakagawa arrived to conduct a case management visit regarding a resident elopement and met with Administrator Jamie Healer. There are 49 residents at the time of the visit.

LPA conducted a case management regarding elopement of resident R1. On 03/25/23 at approximately 6:12PM resident R1 eloped from facility. Facility's entrance alarm was activated. Staff thought it was activated by another resident who was in the area. Alarm was reset. No headcount of residents was conducted. R1 was found one hour later nearby, unharmed. Resident R1 's Physician’s Report shows resident is unable to leave facility unassisted. R1 was not previously a wander risk. R1 has been re-assessed and facility has updated R1's care plan taking into consideration new behaviors.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.