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25 | On 6-6-2024 at 2:21pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit regarding an incident which occurred on 5-12-24. LPA met with Administrator Ernesto Patacsil and explained the purpose of the visit. LPA conducted brief interview with Administrator and staff1 (S1), and reviewed incident report dated 5-13-24 with Administrator. LPA also reviewed individualized program plan (IPP) for resident1 (R1) and physician’s report for R1.
Based on interview and record review, it was determined that on 5-12-24 at approximately 3:30pm, R1 became upset over an issue regarding a request for a new cell phone. R1 then entered his room at approximately 5:15pm after speaking with staff. At approximately 5:45pm, facility staff discovered R1 was not in his room. Facility staff immediately began searching throughout facility inside and out, and while searching R1 was observed by facility staff being escorted to facility by law enforcement officer at approximately 6:00pm. It was determined that R1 was found within one block of facility sitting on the sidewalk. R1 was returned with no injuries and facility staff continued to monitor R1 for any escalation of exit seeking. Facility staff protocol is to notify local law enforcement within one hour after discovering a resident missing and facility staff search. R1 returned within to this time frame. A review of R1’s physician’s report states R1 is able to leave facility unassisted. Interviews and record reviews revealed R1 has a history of attempting to exit seek.
As a result of today’s case management, no citations are issued. An exit interview was conducted with Ernesto Patacsil and a copy of this report was provided to Ernesto.
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