complaint·November 9, 2023

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Administrator, Lisa Tolentino, and discussed the purpose of the visit. The investigation consisted of LPA observations, files review, and interviews with relevant parties. Regarding the allegation, resident eloped from facility due to lack of supervision, Interview with Administrator reveals that she and staff #1 live at the facility and provide 24 hour care and supervision. The Administrator stated that during the night, when Resident #1 (R1) eloped from the facility, she and staff#1 were sleeping and did not hear the sound of the door alarm. LPA review of R1's medical assessment reveals, R1 has a cognitive condition and is not to leave the facility unsupervised. Based on evidence obtained during the investigation, the allegation 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. A deficiency has been cited during today’s visit. An exit interview was conducted where reports LIC9099 and LIC9099-D were discussed. Copies of the reports with appeal rights were provided to the Administrator at the conclusion of the visit.