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25 | Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced case management visit today. LPA arrived at facility was screened and granted entry. LPA met with Linda Hiles, Executive Director and explained the nature of the visit. This is to follow up on an incident report that was self-reported on October 04, 2021 regarding elopement of R1 on September 28, 2021.
Per staff during medication pass at approximately 8:30am R1 was not present in room. Staff began elopement procedures including to make contact to local hospital. Family, physician, and management were notified immediately. Local hospital reported there was a resident in emergency room without injury that came in as a result of a 911 call by a bystander. Staff met R1 at the hospital who returned R1 to the community with no injuries at approximately 9:30am. R1 was placed on one on one supervision. For the first 24 hours R1 had family supervision, facility began behavioral monitoring and alert charting. R1 was placed on 2 hour community checks and given a wanderguard pendant. R1 was seen by primary physician on 09/29/2021 as a follow up visit to incident. LPA reviewed and obtained copies of pertinent documents for R1.
LPA found that facility acted appropriately and in a timely manner to address the incident and all other immediate attention to incident in question. LPA did not observe any immediate and/or safety risks in or out of the facility.
Based on the observations made during today’s visit, no deficiencies were noted today per Title 22 Division 6 of the California Code of Regulations.
This report was reviewed with facility representative and a copy of this report was provided and left at the facility.
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