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25 | Licensing Program Analysts (LPAs) Steve Chang and Kenneth Madrigal conducted an unannounced case management - incident visit and met with Executive Director (ED) Joyce Welch.
On 1/21/2025, the Department received an incident report that on 1/18/2025, a resident (R1) was found not in the facility around 12:50PM. R1 was last seen in the facility around 11:00AM. Based on the footage of the surveillance camera system, R1 left the facility around 12:00PM. The facility notified R1's family and Police Department. R1 was found walking on the street around 1:09PM without injury.
LPA interviewed ED, 2 staff (S1, S2). LPAs toured the facility with ED. LPAs interviewed resident R1 and R1's family member. ED stated the police officers did not provide the police report case number. ED stated this is R1's first time elopement incident. LPAs checked the facility delayed egress door system of memory care unit.
LPA requested R1's physician report, appraisal needs and service plan.
This case management need further investigation.
Exit interview was conducted with ED. The report was provided to ED for review and signature. A copy of the report was provided to ED. |