complaint·May 13, 2025

(Continued from LIC9099) Delayed egress exit doors were inspected by LPA Rios. LPA observed, each door required several seconds of pressing before they opened, and the alarm sounded on all attempts. Subsequently, the ED and LPA proceeded to the reception area to observe the camera video stream. The ED explained that when the door is activated, the camera feed switches to focus solely on that door. LPA did not observe any operational concerns with the doors. LPA attempted to review video footage from the day in question. Footage was not saved. LPA's review of fire clearance confirmed, the facility is approved for a secured perimeter. On 02/14/2025 LPA Rios did the following: From 11:18 a.m. to 11:50 a.m., LPA interviewed three (03) staff that were present during the afternoon shift on 02/04/25. LPA also interviewed the ED who was not present when the incident took place. At 11:51 a.m., LPA interviewed resident #1's (R1's) Responsible Party via telephone and at 12:22 p.m., LPA interviewed, staff #1 (S1) via telephone. At 12:45 p.m. LPA reviewed and obtained copies of R1's file, such as their Physician’s Report, Functional Capabilities Resident Appraisal, Preplacement Appraisal and medication list. From 1:29 p.m. to 2:02 p.m., LPA interviewed, R1 and two (02) more staff. LPA’s review of R1’s record corroborates R1 is unable to leave the facility unassisted due to R1’s diagnosis which may cause R1 to become confused and disoriented. LPA’s interview with four (04) staff present on the day in question corroborate R1 did exit the facility but deny that R1 was unsupervised. LPA's interview with S1 revealed they rushed to R1 outside and followed R1 trying to redirect them to return to the facility, then a bystander contacted 911 for assistance. According to S1, police retuned the resident to the facility. R1's, responsible party confirmed staff contacted them when the incident occurred. Resident interviews corroborate they are supervised and those that may leave the building may sign out at reception and those that need assistance go out as groups. Three (03) out of the ten (10) residents reported they had witnessed different residents attempt to leave the building or making it out of the building but according to them staff always responded and assisted the residents back into the facility. LPA Rios submitted a call of service request to the local police department but has not received a response. R1 did not recall the events that took place on 02/04/2025. Based on interviews and observations this allegation is deemed Unsubstantiated at this time. Exit interview conducted. Copy of report provided.