complaint·April 24, 2025

Continued from 9099 On February 13, 2025, at around 1:00 p.m., R1 asked staff to take them outside to the gazebo, even though it was observed to be a light rain. R1 kept asking to go outside, and at approx 02:10 p.m. staff eventually agreed to take R1 outside. Staff said R1 was wearing a fleece jacket, UGG slippers, and a blanket. A family member / responsible party of R1 stated that R1 attempted to contact them at approx. 01:30 p.m. but they missed R1’s call. Between approx 03:15 a.m. - 3:30 p.m., a family member of R1 came to the facility and told staff that R1 had contacted them wanting to come inside. The family member saw R1 sitting under the gazebo and asked staff to bring R1 back inside. At that time the rain and wind were observed to be getting worse. In an interview with R1, they confirmed they had asked staff to bring them outside under the gazebo despite the weather. R1 said they felt properly dressed for the weather in their fleece jacket and other warm clothes but didn’t remember having a blanket. R1 also explained that they usually use their bell to ask staff for help, but they didn’t ring it while they were outside. R1 also stated they do not recall if staff checked on them during that time. When interviewed, staff said they checked on R1 at approx 02:15 p.m. and 02:30 p.m. In addition, staff also stated they observed R1 from the living room window and waited for R1 to ring their bell for assistance. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation, “Staff left a resident unattended outside during inclement weather" is deemed Unsubstantiated at this time Exit interview conducted and a copy of report issued