Complaint·December 7, 2022

Fire Department. Staff said no. Based on observation and interviews there is sufficient information to support this allegation. Therefore, this allegation is being SUBSTANTIATED at this time. It was alleged that staff does not provide a safe environment for residents due to keeping the outdoor gates locked. To investigate this allegation on 12/07/2022 between 12:50pm and 2:05pm, LPA Valenzuela conducted a physical plant tour. LPA inspected every exit and checked to see if the alarms were working. The alarms were functional on the day of this visit. On 10/26/2022, between 9:30am and 10:30am, staff interviews were initiated. Interviews revealed that the facility put padlocks on the gates to keep the residents from wandering away from the facility. On the day that R1 left the facility, staff was busy assisting Resident #2 (R2), despite the alarms sounding off. Moreover, staff indicated that they closely supervise the residents, assist with re-directing, and make sure all knives and toxic chemicals are inaccessible. On 12/07/2022, between 2:40pm and 2:50pm, LPA initiated resident interviews. Interviews revealed that R2 feels safe and secure at the facility. On 10/26/2022, between 10:30am and 11:00am, LPA reviewed facility records. Records revealed that R1 is non-ambulatory due to a mental condition and requires close supervision due to wandering behavior. Based on interviews, records review and observation there is sufficient information to support this allegation. Therefore, this allegation is SUBSTANTIATED at this time. Deficiencies cited. Exit interview conducted and a copy of the report was issued.