complaint·February 25, 2025

hospital for new placement for Resident #1. This licensed facility was located and Resident #1 was transported to the home after a discussion was had between Witness #2 and the Administrator. After a couple of days, the Reporting Party contacted the hospital and the facility to advise them that they had stolen the resident from another licensed home. Per information provided by Witness #2, transportation records clearly show that Resident #1 was transported to the hospital from the unlicensed Cedros Avenue location and not from the licensed home that the Reporting Party claimed that Resident #1 was living at prior to hospitalization. Since the placement at this home, Reporting Party has indicated that Resident #1 does not have the mental capacity to decide where they want to live. Reporting Party alleges that Resident #1 is disoriented and confused. Per the Reporting Party, the Licensee informed them that if they want Resident #1, they should come get the resident and pay the licensee. Per interview conducted with Resident #1, the resident was observed to be well oriented, coherent and was having a normal conversation with Witness #1 during their visit in the resident's room. Per Resident #1, they do not want to move from this home. Per Resident #1, if they didn't like it at the home, they would grab their jacket and walk out. They love the food, especially the soup and they get fresh fruits even though Resident #1 eats very little. Witness #1 confirms that Resident #1 loves the home and has not seen the resident so happy in a long time. Per review of Resident #1's Physician's Report obtained from the hospital on 2/12/25, there is no indication that Resident #1 lacks the mental capacity to make decisions. It is noted that Resident #1 is occasionally forgetful. Based on today's investigation, there is insufficient evidence to support the allegation that Staff are keeping resident at the facility against their will, therefore the allegation is unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.