Complaint Investigation Report

ALLEGATION: Resident eloped from facility.

It is alleged Resident #1 (R1) eloped from facility. Reporting Party stated, "R1 presents with mild insight and awareness and recalls eloping from Grand View Guest House due to poor treatment”. Based on LPA’s review of R1’s admission agreement, R1 was admitted to the facility on 8/8/2022. Physician’s Report shows R1 is ambulatory and has dementia. It also stated that “R1 is not Able to Leave Facility Unassisted”. Based on interviews and record reviews conducted, Staff (S1-S3) admitted R1 left the facility on 9/8/2022 without staff knowledge and supervision. S1 revealed R1 was located by police officers inside Bank of America in Santa Monica. S1 stated R1 did not return to the facility. Based on LPA’s interviews and record reviews conducted, there is sufficient evidence to corroborate the above allegation.

Based on LPA observations and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.

California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

Exit interview was conducted and Appeal Rights was discussed with House Manager Albert Simon. A hard copy of the report and Appeal Rights were provided.