complaint·September 27, 2024

Continued from 9099... LPA investigated the allegation that staff did not provide adequate supervision resulting in resident (R1) attempting to wander away from the facility. LPA conducted interviews and reviewed records. A review of R1’s current medical records show that R1 is able to leave the facility unassisted. In addition, a review of records does not show that R1 was ever at risk outside of the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. LPA investigated the allegation that Staff did not report incidents involving residents as required. The reporting party cited incident, which occurred on 5/15/2024, believed to have gone unreported. LPA found Administrator did report incidents which required reporting to Community Care Licensing (CCL) within the timeframe specified in regulation; including the incident involving Resident R2 leaving the facility on 5/15/2024 and reported to CCL on 5/16/2024. LPA could find no evidence of incidents which have not been reported per regulations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation that staff did not report incidents involving residents as required is unsubstantiated. The complaint alleges Staff did not appropriately evaluate residents’ service needs. LPA conducted interviews and reviewed records. All records were found to be up to date and assessments completed per regulations based on information provided to the facility. Record reviews revealed that facility made appropriate changes in care plans when additional information was obtained timely. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.