complaint·May 31, 2024

(continued from LIC9099) On 5/15/2024 LPA conducted a visit to the facility. LPA interviewed Administrator (AD), staff and residents in care. Interviews conducted with AD and staff revealed that S1 observed R1 attempting to depart the facility through the front door. S1 followed R1 out the door attempting to de-escalate R1 as they began to walk away from the facility. AD arrived at facility and joined S1 in attempting to de-escalate R1. AD instructed S1 to return to the facility. AD contacted local law enforcement. AD was able to de-escalate R1 and returned to the facility with R1. According to interviews with AD, staff and Resident 2, Resident 1 was never unsupervised. AD and staff corroborated the allegation that the facility did not adequately report the elopement to the department. LPA interviewed Resident 1 who could not recall the details of the incident in question and made no disclosures regarding the allegations. LPA obtained copies of the following files for Resident 1: Admission Agreement, Pre-Placement Appraisal and Physician's Report. LPA obtained copies of the following staff files: personnel reports, protocol for walking with residents and training records. LPA obtained copies of the client roster, and record of staff working at facility on 3/27/24. On 5/15/2024 LPA returned to the facility and conducted interviews with AD and Resident in care. AD made no further disclosures regarding the allegation. Resident 3 could not recall the details of the event in question and made no disclosures regarding the allegations. Due to interviews conducted, LPA was unable to determine if facility staff failed to supervise a resident resulting in an elopement from the facility. Based on interviews conducted and records reviewed there is insufficient evidence to support the allegation. Although the allegation(s) may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and this report was reviewed with Administrator. A copy of this LIC-9099 was provided to the facility.