complaint·August 3, 2021

a missing person's report was filed through the Pasadena Police Department and the brother of R1 was notified. On 7/30/21, facility staff received a call from Huntington Hospital stating R1 was found in the parking lot of Target and taken to Huntington Hospital. As of 8/3/21, R1 remains hospitalized. According to the Physician's Report dated: 9/1/2020, R1 is not able to manage own treatment, medication and equipment. R1 is listed as non-ambulatory and needs assistance with most of his activities of daily living. The treating physician has also indicated that R1 is not able to leave the facility unassisted. LPA discovered that this was the second incident involving R1 leaving the facility unassisted, without staff supervision. This presents an immediate health and safety concern for R1 as the facility was not able to provide care and supervision to meet the needs of R1. Based on LPA’s interview conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report was provided to the Assistant Administrator along with the Appeals Rights.