complaint·March 28, 2023

S1 assumed an unrelated resident set the alarm off. S1 then proceeded and disarmed the alarm. S1 looked out the window to ensure there was no resident outside; however, did not open the door and check the perimeter. Approximately five minutes later, R1 was observed outside of the front of the building by staff 2 (S2). S2 then brought R1 back inside the building and R1 was assisted back to the memory care unit. Interviews with staff corroborated the incident. Records reviewed confirmed R1 was unable to leave the facility unassisted and R1’s responsible party was notified. The Department has investigated the allegation of lack of supervision resulted in resident elopement. Based on evidence obtained, the allegation is substantiated. A substantiated finding means that the allegation is valid because the preponderance of the evidence standard has been met. A deficiency is cited in accordance with California Code of Regulations, Title 22, Division 6 Chapter 8, and is listed on the 9099D. An exit interview was conducted with Frazier and a copy of this report, LIC 811, LIC 9099 D and Licensee/Appeals Rights (LIC 9058 01/16) was provided. The Department has investigated the allegation listed above. Based on evidence obtained, including interviews and records reviewed, the above allegation is determined to be unsubstantiated as the Department could not meet the preponderance of the evidence standard. An exit interview was conducted with Frazier and a copy of this report and Licensee/Appeals Rights (LIC 9058 01/16) was provided.