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25 | Licensing Program Analyst (LPA) Shannan Hansen arrived unannounced to conduct an investigation and follow up on an incident report received 07/25/2022 regarding an incident that occurred on 07/23/2022. LPA met with Administrator Elvira Gazal.
Based on the incident report submitted on 7/25/22 the resident (R1) left the facility through the front door after a visitor left the door ajar, not fully closing it, allowing the door alarm not to reset enabling R1 to leave the facility unassisted and without staff knowledge. A search was conducted by law enforcement and the resident was found nearby unharmed.
While conducting facility inspection LPA observed bedroom #2 sliding glass door open with alarm unconnected. LPA viewed with Licensee who made appointment to have door fixed today.
LPA reviewed documents which state that resident's (R1) condition restricts leaving the facility unassisted.
An immediate $500 Civil Penalty was assessed on 7/28/22 for absence of supervision.
The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided..
Plan of Corrections discussed and provided to Administrator. Signature on form confirms receipt of documents. |