Complaint Investigation Report

Allegation: Staff did not adequately supervise a resident who wandered away from the facility.

Staff members 1-3 (S1-S3) and residents 1-5 (R1-R5) interviewed have consistently affirmed that residents are under sufficient supervision and do not exhibit a tendency to wander away from the facility. S1-S3 and R1-R5 stated that this is not a secured or locked facility, and residents retain their personal rights, including the ability to sign in and out as they choose. Staff members maintain vigilant awareness of the residents' locations and activities. S1 stated regarding the incident involving St. Francis Medical Center, it should be clarified that this facility is not a nursing home, and residents here have the autonomy to leave the premises at their discretion. Therefore, staff have emphasized their vigilance in keeping track of residents' whereabouts and firmly denied any allegations of neglect in this regard.

Investigation revealed the following: Through interviews with staff members 1 to 3 (S1-S3) and residents 1 to 5 (R1-R5), it has been consistently affirmed that residents receive appropriate supervision, and staff diligently provides them with the requisite care and oversight. It's essential to clarify that this facility is classified as assisted living, not a locked or secure facility typically associated with nursing homes. S1 stated that the incident involving St. Francis Medical Center reflects a misunderstanding, as the center wrongly assumed that their residents were from a locked facility. Residents at their facility retain the right to sign out and exercise their freedom to come and go as they please, within the framework of our established house rules. S1-S3 and R1-R5 alike confirm that staff members maintain an informed awareness of residents' locations and activities, and there have been no cases of residents eloping from the facility. In a recent incident, a resident fell ill shortly after leaving the facility while engaged in community activities and was subsequently transported to the hospital for observation. S1 reported that the resident has since recovered and returned to our facility on the same day. S1 stated that this incident was reported to the resident's next of kin and all the appropriate agencies in a timely manner. S1-S3 stated the facility staff is committed to adhering to residents' personal rights while providing necessary care and supervision. S1-S3 categorically denies any allegations of neglect related to this matter.

Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. A copy of the Complaint Investigation Report LIC9099 & LIC9099-C, was provided to Administrator Mary Jane Montiano. There were no deficiencies cited. An exit interview was conducted.