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25 | Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management visit to follow up on a self reported incident, received by Community Care Licensing on 6/20/22. LPA was granted entry into the facility by Amalia Pelina, Administrator, with whom she discussed the purpose of the visit.
The incident reported the absence without leave (AWOL) of C1 (See LIC811 Confidential Names to identify C1) that occurred on 5/20/22. Per Administrator the incident was submitted via fax on 5/21/22, to Community Care Licensing. Administrator was unable to locate the original copy of the report. C1 was last seen at the facility on 5/20/22 at around 11:30 AM, and reported AWOL at 4:30 PM. Per hospital staff, C1 was found wandering and located at the Tijuana, Mexico border. C1 was transported to the hospital and released back to the facility on 5/21/22 at 5:00 AM. Per medical records, C1 sustained no injuries.
A review of C1's Physician Report determined that C1 was able to leave the facility unassisted. Administrator contacted C1’s representative, physician, case manager and the El Cajon Police Department.
During today's visit, LPA Williamson interviewed Amalia Pelina, Administrator, and reviewed the records for C1. It was determined that Administrator notified all appropriate parties and followed all procedures and protocol as stated in the facility's Absentee Notification Plan.
LPA and Amalia Pelina, Administrator discussed reporting requirements. An Advisory Note/Technical Assistance was issued (LIC 9102). No deficiencies were issued during today's visit.
An exit interview was conducted with Amalia Pelina, Administrator, to whom a copy of this report and the Licensee's Rights (LIC9058 01/16) were provided. |