complaint·July 28, 2021

This unannounced visit conducted by Amy Goldenberg, Licensing Program Analyst (LPA), is to initiate the 10 day visit to investigate the above mentioned complaint allegation. LPA met with Executive Director Maritza Lujan and discussed the elements of the allegation. During this investigation visit LPA tested exit doors, delayed egress, and received training material and attendance form for an elopement overview dated 07/21/2021. It is alleged that R1 left the facility unsupervised on 07/20/2021. Based on the information reported on 07/21/2021 by Maritza Lujan and information collected through witness interviews, it is confirmed that R1 left the community on 07/20/2021 unsupervised. We have substantiated the complaint allegation as valid and that a violation has occurred based on the preponderance of available evidence. A copy of this report along with appeal rights are being reviewed with, and furnished to the facility representative. Please see LIC 9099D.