complaint·June 12, 2025

***Report continued from 9099.... Allegation- Facility staff did not provide adequate supervision resulting in resident elopement. Department conducted records review and staff’s interviews to investigate this allegation. Record review indicated that per LIC602 (dated-03/28/25) for resident, R1 indicated that R1 was able to leave the facility unassisted without staff’s assistance or supervision. Additionally, R1s needs and service plan did not indicate that R1 was AWOL/Elopement risks when R1 moved into the facility on 04/01/25. Three staff interviews reflected that staff were not aware that R1 was AWOL/Elopement risk but were aware that R1 can leave facility unassisted. Staff interviews reflected that on 04/27/25 around 1pm, R1 exited from facility and went to main street with suicidal thoughts but staff immediately provided necessary help to R1 and brought back R1 to facility with presence of law enforcement. Facility sent out R1 to hospital on 04/27/25 to seek the appropriate medical care for R1 to ensure their health and safety. From gathered information, it has been concluded that even R1 eloped from facility on 04/27/25, it was not due to staff’s lack and supervision, so this allegation was found to be UNSUBSTANTIATED. Allegation- Facility staff did not provide adequate bathing service to resident care. Department conducted records review and staff’s interviews to investigate this allegation. Record review indicated that per LIC602 (dated-03/28/25) for resident, R1 indicated that R1 was able to take their shower Independently and stand by assistance needed by staff. During staff’s interviews, staff, S3 who were main morning caregiver during R1s facility stay from 04/01/25 till incident date (04/27/25), indicated that they assisted with R1s showers 5-6 times and R1 expressed no concerns. Record review and interviews did not indicate any concerns regarding R1s bathing services at facility, so this allegation was found to be UNSUBSTANTIATED. A finding that the complaint allegations is UNSUBSTANTIATED means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit meeting conducted .A copy of this report has been provided to facility.