complaint·January 30, 2023

*****This report serves as an amendment and supersedes the original complaint investigation report created on 01/30/2023. This report is being amended to add additional information and statements. No other changes have been made to the report. Investigation findings on this report remain the same. ****** 6 out of 6 staff members interviewed denied the allegation and stated that they conduct routine safety checks to residents. Staff members interviewed indicated they monitor all residents including R1 and provide assistance & supervision in the facility during their work shifts. Staff members also indicated that there are cameras in the common areas as well as in and out of the building which were operational. S1 stated that she always ensures that the facility is fully staffed to meet the needs of the residents. S1 stated that R1 is high functioning and does not have a 1:1 care. LPA reviewed R1's assessment on 01/05/2023 which revealed Dementia as secondary diagnosis and was recommended for higher level of care and services. S1-S2 stated that there is always someone in the front desk to monitor as that is where the residents pass when exiting the facility. S2 stated that after R1 was reported missing, a staff member called code ‘green’ which means 'elopement/wandered away' over the radio. A thorough search was immediately done by all staff. R1 was not found after 15 minutes, so the staff called the local police department to report, following the facility’s procedure. Staff members interviewed stated that they are all aware that R1 needs reminder and requires higher supervision. Staff also redirect R1 sometimes, however R1 refused to listen to staff. Staff also indicated that R1 can walk fine and has the right to leave the property if she wants to. R1 does not have a 1:1 caregiver and shares a room with her husband. 6 out of 6 residents interviewed denied the allegation. 3 out of the 6 residents interviewed indicated they were not aware of this incident. Residents interviewed indicated that they feel there is sufficient staff to provide adequate supervision and monitoring to meet their needs. R2 stated that he stays on and watch R1 24/7 and does not let R1 out of his sight. Residents interviewed indicated that they feel safe and comfortable at this facility. LPA observed the Facility exit doors and there was no exit door near R1's apartment. The facility also has video surveillance in the common areas for additional supervision. LPA also reviewed facility schedule and observed that there is enough staff on schedule to properly oversee residents and meet their needs. Therefore, there was insufficient evidence to corroborate with the allegation. Based on statements and interviews conducted with staff, residents, review of resident files and facility file records, the findings indicate that the staff provided adequate supervision to R1 while in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided to Kay Cano, Executive Director.