Complaint·February 18, 2025

Allegation: Staff did not prevent a resident from eloping while in care - The Reporting Party (RP) alleges that on 1/11/25, approx. time of 7:49 pm, Resident#1 (R1) was identified as wandering around the Griffith Park area unattended. To investigate this allegation, LPA conducted a records review, which revealed the following: Physician's report lists R1 as having a diagnosis of dementia. Incident reports show that, on Saturday, 1/11/25, R1 was last seen at the facility around 5:30 pm. Incident report states that R1 was later found wondering around the Griffith Park area by Los Angeles Police Department Officers who then transport R1 to Kaiser Hospital-Los Angeles for medical evaluation . Records review also revealed that, the following week, a subsequent elopement incident involving R1 occurred on Friday, 1/17/25. On both occasions, R1 was returned to the facility, and responsible family member (F1) was notified. Both incident reports state that R1 did not sustain any injuries, nor discomfort during these elopement events. LPA conducted interviews with staff which revealed the following: Staff-Resident Services Director, (S1) and Staff-Memory Care Director, (S2) both confirm that R1 eloped from the facility unsupervised, stating that R1 eluded facility's supervision. LPA interviewed R1's responsible family member (F1) which revealed the following: F1 states that the facility's community is good, and that staff workers "do a good job" of caring for R1. F1 confirms that facility staff provided them immediate notice when R1 eloped from the facility. Upon R1's return to the facility, F1 states the Administrator informed them that staff would be re-trained regarding resident supervision. Based on LPA records review, and interviews, the allegation that resident wandered away due to lack of supervision, is deemed Substantiated . Exit interview, copy of report, appeal rights, and citation provided.