Complaint Investigation Report

Allegation: Lack of supervision resulted in residents eloping.

It was alleged that lack of supervision resulted in residents eloping from the facility on 06/20/2026. To investigate this allegation, LPA conducted interviews with the Administrator Designee, two (2) staff members (S1 and S2), and four (4) out of six (6) residents who were available. Interviews with the Administrator Designee and S1, who was identified as the staff working on June 20, 2026, denied the allegation and stated that no residents left the facility on that date, no residents were observed wandering in the street, and no incident was reported. S1 stated residents are supervised throughout the day, hourly headcounts are conducted, and staff have received training on elopement prevention. Furthermore, interviews with four (4) out of six (6) residents revealed they had no knowledge of any residents leaving the facility on June 20, 2026. The Administrator Designee informed LPA that the facility is equipped with a surveillance camera system and that surveillance footage would be reviewed if an incident were reported. Because no incident was reported to the facility on June 20, 2026, surveillance footage was not reviewed. Based on staff and resident interviews, LPA was unable to obtain sufficient evidence that residents eloped or were unsupervised on June 20, 2026. Therefore, the allegation is Unsubstantiated .

Allegation: Staff cannot properly communicate due to a language barrier.

It was alleged that staff members have difficulty communicating with residents due to a language barrier. To investigate this allegation, LPA conducted interviews with the Administrator Designee, two (2) staff members (S1 and S2), and four (4) out of six (6) residents who were available. Interviews with the Administrator Designee and S2 confirmed that S1 has limited English proficiency and utilizes a translation application or receives assistance from S2 when needed. During today's visit, LPA observed that S1 required assistance from S2 to interpret portions of the interview. Furthermore, interviews with four (4) out of six (6) residents revealed they had no difficulty communicating with staff. Although LPA observed that S1 has limited English proficiency and uses translation assistance, resident interviews did not support that the language barrier prevented staff from meeting residents' basic needs or providing adequate care and supervision. Based on interviews and LPA's observations, LPA was unable to obtain sufficient evidence to support the allegation. Therefore, the allegation is Unsubstantiated .

Appeal rights explained and exit interview conducted. Copy this report signed and delivered.