complaint·October 25, 2023

Upon inspection, It was observed that the alarms on exit door were operational. The alarm on main entrance door was disabled between 8:00am to 8:00pm due to main entrance being monitored by the staff working at the front desk. Staff did not prevent resident from eloping from the facility. It is alleged that on 10/11/2023 resident #1(R1) wandered away from the facility and staff had no knowledge of R1’s elopement. The Law Enforcement found R1 on 01/12/2023 on or around 12:50am a mile and a half away from the facility. LPA, LPM and RD conducted a physical plant tour and observed that a back door leading to outside the facility was not connected to the staff. Upon inspection, it was observed that the alarms on exit doors were operational and connected to individual monitoring device assigned to each staff. The alarm on main entrance door is disabled between 8:00am to 8:00pm due to main entrance being monitored by the staff working at the front desk. Alarm on main entrance is turned on at 8:00pm. Information received revealed that after 9:00pm, no staff is available to monitor front desk and main entrance is monitored by night shift staff through the monitoring devices. Interviews reveal that R1 was last checked by the staff on or around 9:00pm. On or around 10:30am, more than one facility staff received a signal on their devices. However, since the main entrance is being used not only by the residents, but also by the facility staff, everyone working at night shift assumed that the alarm sound because the staff came in or left the facility. The staff on the shift were busy with other duties/tasks. By the time Night shift supervisor came down from the 3 rd floor to check the door, they observed no one at the door. At 12:50am, R1’s family member called the facility to check if R1 is in the community and R1 was not present. R1 was found by the Officers from Glendale Police Department. A review of R1’s records conducted at 10:25am revealed that R1 cannot leave facility unassisted. Based on inspection, observation, interviews, and record review there is a sufficient information to verify the allegation. Therefore, the allegation is Substantiated at this time. Facility refused to provide resident's requested records to resident's responsible party. It is alleged that R1 POA requested the R1’s records, and the facility refused to provide them in timely manner. Continue LIC9099c At the time of visit between 9:00 a.m. – 10:00 a.m., LPM Margaryan and LPA Alvizar spoke with SDE and DRCS. Interviews reveal that on 10/12/2023 on or around 2:30pm, R1’s responsible person requested residents records and were not provided to them. The first contact from the facility related to R1’s record was made on 10/19/2023 by DRCS via email. Information revealed during this investigation verifies that R1’s records were not provided to their responsible party in timely manner. Therefore, the allegation is Substantiated at this time. Under Title 22, Division 6, Chapter 8, following citations were issued and recorded on LIC9099D. No other health and safety hazard is noted during this visit. Exit interview is conducted and a copy of report was issued.