complaint·July 20, 2023

outside, LPA observed that when turning the door handle from inside R1's room, the lock disengages and the door can be opened. LPA took photos and video of the door opening from the inside, even when the door was locked. Interview with ED revealed that the doors can be locked to ensure resident privacy and to secure a resident's personal belongings. Residents can exit their rooms safely at any time of their own choosing, regardless of the door lock. Therefore, based on interview and observation, there is insufficient evidence to support the allegation or that a violation occurred; as thus the allegation that " Staff locked resident in their facility bedroom" is deemed UNSUBSTANTIATED at this time. No citations issued. Exit interview was conducted with Executive Director. A copy of the report was provided.