complaint·September 15, 2025

On the 8/29/2025 LIC624, S1 indicated the following reporting sequence: S2 was notified by facility staff that R1 was missing at approximately 10:50 AM. S2 notified S1 of the elopement at approximately 11 AM. S1 notified R1’s Power of Attorney (POA) at approximately 11 AM. LPA Lindstrom interviewed a family member (F1) of R1, who verified that S1 notified F1 of the elopement around 11 AM on 8/23/2025. The facility immediately initiated its elopement protocols, and staff searched the facility and grounds for R1. S1 called 911 at approximately 11:55 AM to report R1 missing. Based on interviews with staff and family and records reviewed, the allegation that staff did not report incident to appropriate parties in a timely manner is unsubstantiated. 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. As a result of this investigation, no deficiencies were cited. The facility was in compliance with the California Code of Regulations (CCR), Title 22, Division 6. An exit interview was conducted with the Administrator, and a copy of this report was provided.