complaint·May 6, 2025

LPA interviewed 11 staff, and 11 out of 11 staff stated they never observed any behavior from R1 that would indicate, R1 needed more supervision. 11 out of 11 staff did agree that R1 would walk a lot but would return to the facility. Based on observations, interviews and record review on the above allegation is Unsubstantiated. It is alleged that Staff are not reporting falls to community care licensing. Records review and interviews revealed that the facility is reporting falls to CCL. LPA interviewed 11 out of 11 staff and 11 of the staff reported that the facility procedure is to report any falls or any incident that requires reporting to Med-Tech and they will complete the SIR. Interviews revealed that staff never heard or experienced management telling them not to report falls. LPA interview 4 out of 4 staff stating Med-Tech are required to complete SIR and they submit them to the Administrator. LPA observed care notes and SIR on record and accessible to CCL. Based on information obtained during interview and file review, the allegation is unsubstantiated. Based on observations, interviews and record review, the allegations, due to lack of supervision, resident AWOL’ d from facility and was hit by a car and died and staff are not reporting falls to community care licensing are Unsubstantiated. A finding of unsubstantiated means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report was discussed and provided to Administrator, Tae Kim.