complaint·August 22, 2023

Page 2 of 2. On 10/15/2021, LPA Steve interviewed R1’s family members FM1-FM2. FM1 stated the law enforcement officer called FM1 and stated they have R1 in their custody and R1 was seen walking on Main Street, street near the facility. FM1 stated FM1 picked up R1 from the police officers and brought R1 to FM1’s home and not back to the facility. FM1 stated the resident was alone with the police officers and did not observe the facility staff nor the 1:1 caregiver with R1. FM2 stated R1 had a 24-hour 1:1 dedicated caregiver with R1 in the facility and R1 could leave the facility without the 1:1 caregiver. On 08/04/2022, the Department continued investigation and LPA Chang interviewed Executive Director Lauren Powell (ED). ED stated R1 cannot leave the facility unattended but had the right to leave the facility with 1:1 caregiver. ED stated the facility staff called law enforcement immediately when R1 exited from the facility on night of 10/8/2021. On 11/9/2022, the Department continued to investigate the allegations and LPA Simi Rai conducted a phone interview with Executive Director Lauren Powell (ED) and Tina, Business Office Director (BOD) and Conrado Duarte, Sales Director (SD). The facility’s front doors close at 8pm from the outside but anyone from the inside can leave through the doors without unlocking the doors. R1’s 1:1 caregiver’s shift ended at 10:00pm on 10/8/2021. At 11:30pm, S2 called law enforcement when R1 left the facility unassisted. Based on review of R1’s Physician Report dated 9/30/2021, R1 has a dementia diagnosis and R1 is not able to leave the facility unassisted. R1 requires supervision and safety due to dementia diagnosis with sundowning behavior. The Department has conducted an investigation of the above allegation. Based on records reviewed and interviews conducted, the preponderance of evidence standard has been met. Therefore, the Department found the above allegation to be SUBSTANTIATED. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 9099-D. This report was reviewed by Executive Director (ED) Lauren Powell and a copy of the report was provided. Appeal Rights was provided.