Complaint·October 15, 2024

On 10/15/2024, Licensing Program Analysts (LPA's) Tobola & Jian arrived unannounced for the purpose of initiating complaint investigation and was greeted by Executive Director, Cleitus Jones. LPA toured the facility, interviewed Executive Director, gathered resident records and made observations during the course of the investigation. Complaint alleges, lack of supervision resulted in resident eloping from facility. Based upon interviews with Executive Director, it was found that resident (R1) had eloped from the facility during the overnight hours of 9/28/2024. It was found that staff (S1) had been asleep during the incident had not properly supervised residents resulting in R1 exiting the facility unsupervised. Upon review of R1's records, it was found that R1 is diagnosed with dementia, has wandering behavior and is not allowed to leave the facility unassisted. Allegation, Lack of supervision resulted in resident eloping from facility is found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.