Complaint·September 26, 2024

R1 stated that R2 should not be living there since R2 has "dementia." R1 stated that R2 entered R1's room which R1 usually keeps unlocked. R1 stated that R1 yelled from R1's bed "who is it" and R2 responded. R1 stated that R2 is completely "out of it." LPA interviewed R2 who stated that R2 recently moved into the facility and is still unfamiliar with the facility layout. R2 acknowledged having walked towards R1's room due to confusion over room numbers. R2 indicated that the door was slightly open, and R2 called out, but did not actually enter the room. R2 clarified that all interactions occurred at the door entrance. LPA reviewed R2's physician's report which indicated that R2's overall health was fair. Physician's report further revealed that R2 may have slight confusion at times but R2 does not have a dementia diagnosis. LPA interviewed outside agency (OA) who stated that they are familiar with the incident and they conducted their own investigation. OA stated that they determined that R2 was confused due to R2 being new to the facility. OA stated that they also determined that although R2 did approach R1's room R2 never entered R1's room. OA stated that the investigation was then closed. OA stated that they have been working closely with the facility and the executive director who has been doing a great job of making improvements throughout the facility. LPA interviewed Executive Director (ED) who stated that in a community setting it is hard to control residents getting lost. ED stated that R2 accidentally entered R1's room due to confusion and immediately walked out when R2 realized it was not R2's room. ED stated that R2 was new so R2's name was not their door yet which added to the confusion. Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegation is not valid. An exit interview was conducted with Julia Lopez. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Julia Lopez whose signature below verifies receipt of these rights.