complaint·June 5, 2024

On 6/5/2024 at 1:05 PM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to conduct a complaint visit. LPA explained the purpose of the visit with Administrator Jonabelle Tolentino. On the allegation of Staff not affording resident the personal right to leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. Based on record review and interviews the facility has a delayed egress door and alarms that go off when residents with dementia attempt to leave the facility. S1 states that if a residents does not have a diagnosis of Dementia they are able to come and go as they please. R1 does have a diagnosis of Dementia and documentation stating that R1 can not leave the facility unassisted Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.