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25 | LPA Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced Case Management – Incident visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Director of Resident Care Keisha Bean.
Today's visit was in response to an LIC 624 Incident Report, which licensee self submitted to the CCLD San Diego Regional Office (received on 06/17/2024). According to the LIC 624: during the morning of 06/11/2024, Resident 1 (R1) exited the facility and walked along the street out front of the facility. R1 was picked up by the facility driver and was returned safely to the community. R1 was assessed by staff with no injuries noted and also met with staff to discuss their reason for leaving. After speaking with the resident, R1 expressed an understanding of not leaving the facility unassisted again and that if they want to leave they will seek assistance.
During today’s visit, LPA performed a brief facility tour and collected copies of and reviewed pertinent records. LPA also interviewed relevant staff.
According to their latest LIC 602 Physician’s Report (dated 01/29/2024), R1 was diagnosed with Mild Cognitive Impairment (MCI) and required staff assistance with taking their prescribed medications and it is documented that the resident is not able to leave the facility unassisted.
An exit interview was conducted with Bean, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
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