complaint·March 8, 2024

Allegation: Facility has a lock on the front door to prevent the residents from leaving the facility Investigation Finding: Substantiated During investigation, LPA interviewed staff (S1, S2) who stated that the front door lock was necessary to prevent residents with dementia from leaving the facility without the knowledge of staff. Witness (W1) also observed the front door lock at the facility during a site visit on 03/04/24 and confirmed with staff (S1, S2) that the front door lock was placed to keep exit seeking residents from leaving the facility. ADM instructed staff (S1) to remove the additional front door inside lock. LPA witnessed staff remove the additional front door lock during visit. Based on the department’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the allegation(s) that facility has a lock on the front door to prevent the residents from leaving the facility was found to be substantiated. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due dates and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted, appeal rights and copy of report provided.