Complaint Investigation Report

The neighbor reported that one of their residents was outside by himself and threw a dirty adult diaper into her front yard, as well as into another neighbor's front yard. S1-S2 stated residents have personal rights and that staff could not have prevented the resident from leaving the diaper behind. However, staff is willing to dispose of the diaper and ensure the neighbor that such incidents do not occur in the future.

Staff 2 Christian Espino and LPA Bunker toured the entire facility to observe and identify any signs of neglect, abuse, or other immediate health and safety threats. No signs of neglect or abuse were observed during today's visit. LPA Bunker requested and reviewed residents' records, including sign-in/out log sheets, incident report, admission agreements, appraisal & needs service plans, physician's reports, progress notes, I.D., and emergency information. Licensee Angelique provided LPA Bunker with copies of supporting documents.

Allegation: Staff did not ensure that resident exited the facility supervised

Interviews with Staff 1-2 (S1-S2) and residents 1-2 (R1-R2) revealed that residents are allowed to exit the facility unsupervised as this is not a locked facility. S1-S2 and R1-R2 stated residents sign in and out and are allowed to go into the community when they leave the facility. S1-S2 stated staff are trained and competent to provide care and supervision to meet the resident's needs. S1 stated staff is receiving ongoing training.

S1-S2 and R1-R2 stated staff are always aware of residents' whereabouts when a resident leaves the facility. They also stated that residents always wear shoes and do not go outside barefoot. S2 stated he never told the neighbor that residents are not allowed outside by themselves. S2 stated he mentioned that the resident has PTSD and is a war veteran. S2 stated he never told the neighbor resident was aggressive. S1-S2 stated this is a 24-hour care facility that operates, 7 days a week, 365 days a year 24 hours a day, ensuring that residents are never left at the facility alone without supervision.