Complaint·May 15, 2025

On 05/15/25, Licensing Program Analyst (LPA) Pang Lee arrived unannounced to open and closed the complaint allegation outlined above. LPA met with caregiver Netani Tuivu to explain the purpose of the visit. A brief interview was conducted with administrator Salote Lewis via telephone call. The census is 5 with 1 facility staff. It was alleged that facility staff did not properly supervise client resulting in elopement. This investigation included interviews with staffs and records review. In an interview with both administrator Salote Lewis and caregiver Netani Tuivu, both admitted that resident 1 (R1) left the facility unsupervised. Based on records review it was learned that on 04/30/25, R1 left the facility unsupervised and was brought back to the facility by law enforcement. Per R1's LIC 602, Physician Report dated 10/02/23 R1 has a history of wandering behavior and is unable to leave the facility unassisted. Based on the interviews conducted during the investigation process and records review, LPA Lee was able to corroborate the allegation. As a result, this allegation is SUBSTANTIATED. A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the standard has been met. Deficiencies cited on the LIC 9099-D, per Title 22 Regulations. An exit interview was conducted with Tasha and Melissa and a copy of this LIC 9099, LIC 9099-D page and appeal rights provided to facility.