Complaint Investigation Report

It was alleged that lack of supervision resulted in R1 eloping from the facility and the facility failed to report R1’s elopement in a timely manner. Information gathered reflected that R1 has a diagnosis of Dementia and was admitted to the facility on 11/22/2022. R1 only resided at the facility for seven (7) days and was relocated to a different facility. Interviews conducted and records reviewed revealed that R1 eloped from the facility at approximately 7:00 a.m. on 11/25/2022. Interviews further reflected that the family of R1 was not contacted by facility staff and was unaware that R1 eloped from the facility until the family was notified by LAPD. Based on LAPD records, on 11/25/2022 at 10:48 a.m., law enforcement was notified of R1 missing from facility. It was notated that R1 was last seen one and half hours ago, suffers from Alzheimer’s, and was new to the facility. Law enforcement began a search for a missing person and at 12:11 p.m., additional units were requested for “Critical Missing” person. An “Official Adult Teletype” was created at 2:24 p.m. for a missing person with the public to contact LAPD with any information. R1 was located on 11/28/2022 at 3:54 p.m. and was transported to the hospital. Moreover, the family of R1 was informed that additional staffing will be hired as an extra safety precaution however, R1 subsequently eloped twice after. Interviews conducted with staff reflected that staff were not able to recall R1 nor, any elopements related to R1. Based on information gathered during the course of the investigation, there is sufficient evidence to determine that due to lack of supervision R1 eloped from the facility and that facility failed to report R1’s elopement in a timely manner; therefore, the above allegations are deemed SUBSTANTAITED at this time.

Pursuant to Title 22 the following citations were issued. (Refer to LIC9099-D)

Exit interview was conducted . Citations issued/ A copy of report was provided.