Complaint·November 15, 2024

LPA interviewed staff #1 (S1) who stated that the door alarm went off and they responded to the alarm, however, they did not see R1 at the door. S1 also stated that they did not know R1 left the unit because the unit has 2 delayed egress doors and the elevator doors. Therefore, they did not know which exit R1 used to leave the unit. Based on the Pre-placement Appraisal Information, the facility was aware that R1 has wandering behaviors as it was indicated on the Appraisal. During the visit on 11/7/2024, LPA and the Resident Service Director tested the delayed egress doors and both doors were working properly and one of the doors lead to the courtyard in front of the facility where R1 was seen by the Memory Care Director. After the investigation, this allegation is substantiated as R1 left a secured unit unattended and the facility did not know how R1 got out. Based on interviews, observation, and record reviews during the investigation, the preponderance of evidence standard has been met. Therefore, these allegations were determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with the Operation Specialists, a copy is provided with Appeal Rights provided Based on the Needs and Services Plan, R1 did not have hearing aids. Based on observation, interviews and records review, this allegations is deemed to be unsubstantiated. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. This report is review with the administrator and a copy is provided