complaint·April 22, 2022

Regarding the allegation: “Facility did not provide resident adequate supervision.” It is alleged that the facility failed to supervise R1 which resulted to R1 leaving the facility unassisted. On 04/22/22 reviews of R1’s physician’s report and needs and services plan indicate that R1 is not able to leave the facility unassisted. On 08/10/21 Administrator Lara stated that on 07/29/21 the facility door was left open by non-facility staff around 7:30pm. Staff discovered that R1 was missing between 8:05pm and 8:40pm. Regarding the allegation: “Facility did not provide resident adequate supervision.” The “preponderance of the evidence” standard has been met, therefore the allegation is Substantiated. Division 6 Chapter 8 is being cited, please see LIC9099D. Plans of Correction were developed. An exit interview was conducted. A copy of this report and Appeals Rights were provided to Administrator Lara. The investigation revealed the following: Regarding the allegation: “Facility did not report resident missing. “It is alleged that “The facility did not report facility missing in a timely manner.” On 08/10/21 Administrator Lara stated that on 07/29/21, Staff reported that R1 was missing around 8:20pm and were instructed to look for resident within the facility and to call the police if not found within 10 minutes, in about 10 minutes the police brought resident back to the facility. Regarding the allegation: “Facility did not report resident missing.” The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is Unsubstantiated. An exit interview was conducted. A copy of this report was provided to Administrator Lara.