Complaint Investigation Report

Staff filed missing person report to local law enforcement. Police reports confirmed R1 AWOLed on the said dates.

Based on information gathered, the preponderance of evidence has been met, therefore the allegation of 'staff did not adequately supervise resident (R1) while in care' is closed as substantiated. Deficiency is cited from Title 22 California Code of Regulations, and listed on 9099D. Failure to submit proof of correction by plan of correction due date may result in civil penalty.

Allegation: Staff do not maintain records regarding resident (R1) in care.

It was alleged that when law enforcement responded and went to the facility, the staff were not able to provide information for R1.

All staff interviewed stated R1 does not have record at the facility. During the 10-day initial visit on June 28, 2023, LPA asked the administrator for R1's file and administrator stated R1 has no record.

Based on information obtained, the preponderance of evidence has been met, therefore the allegation of 'staff do not maintain records regarding resident (R1) in care' is substantiated. Deficiency section 87506(a) was cited during annual inspection on July 18, 2023 with proof of correction to be submitted by 8/01/23.

Deficiencies, plan and proof of corrections were discussed with the administrator.

Copy of this report, Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.