Complaint Investigation Report

Regarding the allegation: “Facility did not provide resident adequate supervision.” It is alleged that the facility failed to supervise R1 which resulted to R1 leaving the facility unassisted. On 04/22/22 reviews of R1’s physician’s report and needs and services plan indicate that R1 is not able to leave the facility unassisted. On 08/10/21 Administrator Lara stated that on 07/29/21 the facility door was left open by non-facility staff around 7:30pm. Staff discovered that R1 was missing between 8:05pm and 8:40pm. Regarding the allegation: “Facility did not provide resident adequate supervision.” The “preponderance of the evidence” standard has been met, therefore the allegation is Substantiated. Division 6 Chapter 8 is being cited, please see LIC9099D.

Plans of Correction were developed. An exit interview was conducted. A copy of this report and Appeals Rights were provided to Administrator Lara.