complaint·August 29, 2023

CONTINUED FROM LIC9099-A LPA conducted or attempted a total of six staff interviews during the investigation visit. Regarding the allegation that an Inoperant alarm has allowed unsupervised exits from residents with dementia, the following has been concluded: Based on observation and interviews conducted, the sound alarms are functional and staff response is consistent with the prevention of wandering risks in the facility's residents. None of the staff members interviewed corroborated the occurrence of an incident during which any resident was able to exit the facility unsupervised. As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to a facility representative. CONTINUED FROM FORM LIC9099 LPA conducted or attempted a total of six staff interviews during the investigation visit. Regarding the allegation that One of the facility's routes of egress is in disrepair, the following has been concluded: Based on the observation conducted during the tour of the physical plant, the delayed egress systems on both exit routes are operational. The gate only opens after a push on the bar for 15 seconds, immediately triggering an alarm at a central location alerting staff to the egress attempt. On both instances, facility staff was witnessed to intervene immediately to ensure no resident was able to exit the facility unsupervised. The exit gate between the secure outdoor space behind the facility and the parking was also confirmed to trigger a remote alarm but somehow did not sound locally. The allegation is therefore found to be Unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. The Department has investigated this complaint. LPA provided a consultation on the regulatory requirements specific to dementia care documented in an attached Technical Assistance Advisory Note. Due to the presence of two large items in front of the backside egress gate, later easily repositioned away from the gate by facility staff, a Technical Violation Advisory Note regarding the requirements of the California Code of Regulations Section 87307(d)(6) was issued and a consultation provided to facility representative. An exit interview was conducted and a copy of this report was provided to a facility representative.