Complaint·May 29, 2026

Continued on LIC9099 S1 informed LPA that R1 rode the elevator from the second floor down to the first floor. R1 frequently waits by the elevator on the second floor to ride it down to the first floor to visit with residents who live on the first floor. Residents are allowed to go between floors to visit one another and for activities. The elevator can only be called with a key fob issued to staff, however once in the elevator anyone can press a floor and go to that floor. To leave the facility one would have to walk past the concierge desk which is always staffed. Staff are aware of R1’s behavior and look out for R1. The concierges also know R1 will ride the elevator and look out for R1 to prevent R1 from walking out the front door. There are no other direct exits one could take without a staff member seeing that could lead to a resident eloping. LPA reviewed the staff roster that shows six staff per floor during wake hours. LPA walked the facility and observed six staff on both floors. Based on interview and LPA’s observation the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies were cited during this inspection.