complaint·January 18, 2022

Interviews with S1, S2, S3 indicate that R1’s absence was not known until a call was received from the two individuals (names not obtained) that had found her. This poses an immediate health & safety risk to the resident in care. LPAs also checked the delayed egress door’s alarm and observed that it goes off the moment the door handle bar is depressed and remains activated until a code is entered. LPAs also observed that the delayed egress door only opens after the handle bar is depressed for a duration of one minute. LPAs attempted to interview Resident 1 (R1) however were unable to due to the fact that R1 is not alert nor oriented. Based on resident and staff interviews and record reviews, LPAs determined that the allegation: Lack of supervision resulting in resident wandering away from facility, is SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. An exit interview was conducted with Micahel Garcia where a copy of this report (LIC 9099) along with LIC 9099-D and Appeal Rights were reviewed and a copy was provided.