complaint·August 1, 2025

...continued from LIC9099. Staff did not provide adequate supervision resulting in residents eloping. LPAs interviewed S3 and S3 stated that R1 and R2 were fighting with each other before S3 took the residents outside. S3 stated that they left R1 and R2 outside unattended while they went inside the facility. S3 stated that they went inside to tell the front desk that they were leaving the residents outside. S3 stated that "they forgot the residents outside" and S3 stated that they thought the residents "went inside themselves." S3 stated that "R1 and R2 like to be outside by themselves." S3 stated that "the staff got busy and didn't know where the residents went." LPAs reviewed R1 and R2's Physician's Report (LIC602) and it revealed that R1 and R2 are unable to leave the facility unassisted. Based on information obtained, the allegation is SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Exit interview conducted, appeal rights and a copy of this report provided to Bessy John.