Senior Care Records.A MITRYXA product
For operatorsSign in

Facility Evaluation Report

Clearwater at Sonoma Hills, Rohnert Park08/20/2025Licence 496803860

Capacity114
Date signed08/20/2025 03:14:33 PM
Name of licensing program analystDina Alviso
Name of licensing program managerBethany Moellers
The inspector’s account

Licensing Program Analyst (LPA) Alviso conducted a case management inspection, on 8/20/2025 at approximately 9:40am, and met with Executive Director, James Homer.

This case management is to review resident incidents' of R1 AWOLs/wandering away from the facility.

LPA reviewed resident, R!, records, and obtained additional information on incidents. R1 resides in assisted living area of the building. Resident R1 who uses a four wheeled walker that has a wander-guard attached to it. Wander-guard is to alert facility staff if resident wanders out of any exit door/gate. R1 is not to be in the community/out of the facility unsupervised per medical assessment, and review of resident records. R1 exited and AWOL the facility without staff’s knowledge on 8/14/25, 8/2/25, 6/6/25, and 5/8/25.

On 8/14/25 , resident wandered away and an individual saw R1 and contacted the Police. Staff had not located R1 and called 911; R1 was returned to the community by the Police department. On 8/2/25 R1 was not in their room when staff came to take them to their dinner meal, staff searched inside and outside the facility, when a staff observed R1 walking into the front entrance of the building on their own. On 6/6/25 R1 exited the facility without staff’s knowledge, R1 was observed outside by the trash cans/dumpster by a maintenance staff who was arriving to work. Staff parked their vehicle and went and found R1 sitting in a staff’s parked car. Facility staff redirected R1 back into the facility. On 5/8/25 staff found R1 wandering around outside the facility.

Regulation Reappraisals- 87463, this shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident. Behavioral expression, as defined in Section 87101, Definitions, that may result in harm to self or others, such as unsafe wandering, elopement, hallucinations, lacking in hazard awareness, or lacking in impulse control

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction