Complaint Investigation Report

Regarding the allegation… Resident eloped from the facility . It is being alleged the resident eloped from the facility on 12/06/2022 without staff members’ knowledge. The reporting party called the facility on Tuesday, 12/06/2022 and asked to speak to R1. The reporting party was told by staff R1 was sleeping. The reporting party called again on Thursday 12/08/2022 and staff told the reporting party R1 left the facility without staff member’s knowledge.

During interviews with the two staff members (S1 and S2), S1 and S2 confirmed they worked the morning of 12/06/2022. S1 and S2 confirmed Room 103 was unlocked. S1 and S2 confirmed Room 103 was used for storage. Upon entering the room, S1 and S2 observed the door leading to the outside of the facility was open. S1 and S2 confirmed the Administrator has stated to all staff Room 103 must remain locked at all times since an exit door leading to the outside is located within that room.

When S1 observed the side door was open, S1 sent a snapshot of the open door to Administrator. The Administrator confirmed the resident had eloped the morning of 12/06/2022. The Sheriff’s Department was called and the Department filed a missing person’s report. LPA Spaeth observed the report was dated 12/06/2022. LPA Spaeth reviewed the 12/06/2022 incident report that was sent to CCL regarding the elopement of R1. The report revealed S1 and S2 observed the side exit door was open. The report also stated S1 and S2 conducted a head count and discovered R1 was not at the facility. The Administrator confirmed the staff called the Administrator on 12/06/2022 confirming R1 was not in the facility. LPA Spaeth reviewed R1’s Physician’s Report (LIC 802) dated 08/28/2020 which revealed R1 would need to be accompanied with staff if R1 left the facility.

Based upon LPA’s interviews and review of R1’s LIC 802 dated 8/28/2020, the allegation is substantiated .

Exit interview conducted, appeal rights discussed, and a copy of the report was given.