|LPA Laura Munoz conducted a case management visit to this facility today, 05/03/19 to follow up on an incident that occurred on 04/20/19. LPA met with Personal Care Manager, Cal Mendiola and spoke to Executive Director, Amanda Smith on the phone.|
The facility self reported an incident on 04/26/19 that occurred on 04/20/19. On 04/20/19 at approximately 5:30pm, R1 eloped from the facility through the front of the building. According to the Executive Director, the facility had a live band playing for the residents. When the band was leaving the building, it appears R1 walked out with the band. Once the facility realized R1 had eloped, facility staff contacted local law enforcement who located R1 at 6:40pm approximately .25 miles from the facility. R1 was returned to the facility without incident.
Upon review of R1's current LIC602/physician's report dated 08/02/18, R1 has a diagnosis of Mild Cognitive Impairment. R1's LIC602/physician's report also states R1 cannot leave the building unassisted. Per Mr. Mendiola, this is the first incident of R1's eloping. LIC602/physician's report does not note any wandering behavior however does state R1 can be confused/disoriented.
After the incident, a Wanderguard was placed on R1 with 1 hour checks. On 04/25/19, R1 was moved to the memory care unit of the facility, which is a secure environment with delay egress exits. Based on the information obtained, although R1 did not have a diagnosis of Dementia, R1's LIC602/physician's report documents R1 cannot leave the building unassisted.
Deficiencies are cited today in accordance with California Code of Regulations, Title 22, Section 87464(f)(1) and listed on the attached LIC809-D.
Exit interview and copy of report and appeal rights provided.