Complaint Investigation Report

The investigation revealed the following:

Regarding the allegation " Staff do not provide adequate supervision resulting in residents eloping", it is being alleged that the facility is very understaffed. Record reviews revealed that there are about 90 staff associated at the facility. S1 has stated "There's been a spike in people calling out.". LPA's Interviews revealed that eight (8) out of thirteen (13) interviews have agreed with the allegation (W1/2/3, R3 & S5 through S8). Therefore, the above allegation is found to be Substantiated . California Code of Regulations, Title twenty-two (22), Division six (6) is being cited on the attached LIC 9099D.

An exit interview was conducted with Esperanza Naaktgeboren - Executive Director (S9), and a copy of facilities’ appeal rights and this report has been provided.