1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility for a case management visit to follow up on the elopement of a resident in care. The LPA was allowed entrance into the facility and met with Interim-Administrator, Raquel Montes. The LPA informed Montes of the purpose for the visit.
A report was received by the Department from the facility on 06/19/2024 regarding Resident One (R1) not being able to be located at the facility on 06/11/2024. Staff One (S1) attempted to locate R1 during their scheduled round; however, the resident was not found. According to the Unusual Incident/Injury Report (UIR) and a staff interview, R1 was last seen at 10:00 AM on 06/11/2024. The report states staff searched for the resident; however, their attempts were unsuccessful. Per Interim-Administrator Montes, R1 has not been found as of this date. R1's medical assessment (Physician's Report for Residential Care Facilities for the Elderly) was reviewed. The report, dated 12/14/2023, revealed the resident is diagnosed with a condition which does affect their cognition; however, the report also states the resident is able to leave the facility unassisted. According to staff interviews, R1 frequently leaves the facility without supervision and has returned on their own or with an escort from law enforcement. Montes reported that when R1 returns to the facility they have never returned injured.
The UIR (written report), regarding the elopement of R1 was not submitted within seven (7) days. Based on a fax transmittal the incident, which occurred on 06/11/24, was reported on 06/19/2024. A citation will be issued.
An exit interview was conducted; this report was reviewed with Interim-Administrator and a copy was provided, along with the LIC 811, LIC 9098, and instructions on appeal rights. |