Theresa Reilly (TR) was found outside approximately of a city block away from the Pinewood building by staff
Steve Anderson (SA) who was heading out to a job site. TR was at the business 4th Street Auto attempting to open a vehicle door (she
likes to go on car rides). SA was able to gain her attention and asked her to come with him back to Pinewood. She complied and
accompanied SA back to Pinewood.

Earlier that morning, the "daily schedule" created by staff Sherri Ross (SR) had listed staff Sherrill McDonald (SM) to provide supervision
for TR. TR is not a 1:1, however she requires close supervision as she has a history of elopements. SM had spoken to SR earlier in the
morning, before any clients had arrived, and told her she was not able to provide supervision for TR because she would be busy working
on a project in a separate area from where TR was going to be. SR was going to make the change on the "daily schedule" but got busy
with other things and forgot to update it with a different staff for TR's supervision. With no eligible staff listed for TR s supervision, TR was
able to leave the building unnoticed. It is unknown exactly what time TR left Pinewood, but other staff member Connie Lepak (CL) reported
that she had last interacted with TR at 9:10am. SA reported that when he found TR it was approximately 9:15am.