Senior Care Records.

Complaint Investigation Report

Westminster Gardens, Duarte08/25/2022Licence 197605591

Date signed08/25/2022 10:12:16 AM
Name of licensing program analystChristina Hadley
Name of licensing program managerAllison Nakatomi
The inspector’s account

197605591-8-25-2022-28-AS-SGRE-CYFV7S-20231212151129

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1000 CORPORATE CNTR DR. ST 500

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/02/2022 and conducted by Evaluator Christina Hadley

COMPLAINT CONTROL NUMBER: 28-AS-20220502074202

Allegation #4 - Facility did not uphold resident's right to leave and depart the facility freely and not be locked into a room.

During the course of the investigation into the factors surrounding this allegation, it was determined that there were multiple episodes of resident wandering in hallways and into other resident rooms. Resident was redirected to leave the resident rooms. Resident also had multiple episodes of exit-seeking behavior. Spouse was informed and gave consent for a Wander Guard. A Physician’s order obtained for Wander Guard due to residents wandering in order to protect the resident from harm to himself and/or others.

The Department was unable to obtain evidence to support this allegation. A complaint allegation finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction