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25 | Licensing Program Analysts (LPA) Esther Cortez conducted an unannounced Case Management -Incident visit in conjunction with an initial complaint visit (Complaint Control #29-AS-20230714150808). The purpose of the visit is to follow up on an elopement Incident reported to the LPA on 07/20/2023. The LPA met with interim administrator Joanna Enriquez and the reason for the visit was explained.
It was reported that on 07/20/2023, at approximately at 1:00 p.m. the facility received a call from Housekeeping Staff (S1), who was off the clock and having lunch at the nearby I-Hop restaurant, informing staff that Resident #1 (R1) had eloped from the facility and was with them. Right after receiving the phone call, Administrator Joanna and Marketing director Ashley Villareal went to pick up R1 and brought them back to the facility. The Wellness Director Justin Ramirez conducted a head-to-toe check on R1, and R1 was placed on monitoring. R1’s Physician and family members were informed.
During today's visit, the LPA and ED discussed the Incident Reports, discussed what the facility is doing to ensure R1's safety, reviewed pertinent documents, and the LPA interviewed the Wellness Director and Administrator. R1 exited the facility through the main door, while staff was present. The administrator spoke to the receptionist, who stated they did not see R1 exit the facility. According to R1’s physician report (dated 2018), R1 is not diagnosed with dementia and can leave the facility unassisted but their next of kin needs to be notified. However, based on staff’s observations staff is concerned about R1 leaving the facility unassisted and not having the ability to find her way back. Wellness director has requested an updated physician’s report. The LPA advised the administrator and wellness director that R1 should be seen by their physician and make sure they are receiving the appropriate level of care. Prior to issuing final licensing report, it has been determined that further investigation is needed at this time.
Exit Interview Conducted and Report was Issued. |