complaint·January 19, 2023

that R 1 on at least 2 occasions left the facility unassisted. On 1 occasion Monrovia Police department escorted R1 back to the facility. Staff stated that R 1 had gone alone to Bank of America and restaurant in shopping plaza across the street. Administrator stated that Police had found R 1 around 2 A.M. walking in the direction of the police station outside of the facility a block away. File review revealed that a Pre- Placement Appraisal was done on 02/22/2022 which revealed in Health History R 1 hospitalized due to wandering. Appraisal Needs and Services dated 03/04/2022 listed in Background Information that R1 was found a few times wandering around by police who would always take him back home. Listed under Method of Evaluating Progress states monitor closely. Physician's Report dated 02/22/.2022 listed under Mental Condition is checked yes for confused/disoriented and no for able to leave facility unassisted. Based on review of documents and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22, Division 6, Chapter 1. See LIC 9099D. It should be noted that R1 has relocated to another assisted living. Exit interview conducted and copies provided.