Per incident report, on 5/26/23, C1 requested to be discharged and transportation via Uber was pending facility approval. C1 did not want to comply with facility policies and procedures for discharge and decided to leave facility on foot. At the time of the incident, LPA spoke with Administrator (AD) Lisa Samaan who stated C1 took all their belongings except for their medications because they refused. Per AD, C1 also refused to list an emergency contact. Due to C1 refusing to follow facility exit protocol and procedure, a missing person’s report was filed with the Tustin Police Department. During case management visit conducted on 6/21/23, LPA spoke with Staff 1 (S1) who was present during incident, and they confirmed, C1 expressed their desire to discharge on 5/26/23. C1's facility assigned Therapist was contacted. Therapist met with C1 and was present for C1’s departure.

On 7/01/23, C1 was re-admitted to facility. On 7/05/23, C1 was evaluated by TH using Application For Up to 72-Hour Assessment, Evaluation, and Crisis Intervention or Placement for Evaluation and Treatment (DHCS 1801). C1 was determined to be a danger to others and placed on a 72-hour psychiatric hold. C1 was transferred to psychiatric unit via ambulance. On 7/06/23, TH called psychiatric unit to inquire about C1 and were notified C1 had been discharged and no further information was provided. On 7/05/23, TH contacted C1's Receiving Party per Authorization to Use and Disclose Protected Health Information (PHI) form, and informed them of 72-hold and on 7/06/23, informed them of C1's discharge from psychiatric unit. AD was informed that a new intake is to be completed in the event C1 returns to the facility, AD stated they understood and would notify the Department regarding updates for C1.

Based on observations made during today's visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD and HM, and a copy of this report was left at the facility.