Complaint Investigation Report

Per interview with AD Mai allows R1 to sit outside on the facility front porch unsupervised. AD stated he leaves the front door unlock for R1. AD explained that R1 usually comes back from outside and goes in their room and closes their door. The night of the incident, AD Mai check and saw a blanket covering R1’s pillow and thought R1 was in bed. AD stated he didn’t hear R1 leave. AD reported the door alarm was turned off because it irritates R1. AD Mai was not aware that R1 was missing until in the morning where he usually wakes up R1 for breakfast. Upon realizing R1 was missing, AD checked the facility and surrounding neighborhood and notified police & R1’s responsible party. AD does not recall notifying CCLD about R1's elopement. LPA did not find any SIRs from the facility around that time period of the incident.

R1 was brought to UCI Medical Center via paramedics after a syncope and collapse. After a series of tests, R1 was diagnosed with facial trauma to their forehead and nose. Per hospital discharge paperwork dated 2/2/23, R1’s head CT scan did not show any signs of acute intercranial hemorrhage, herniation or hydrocephalus. AD Mai was not aware that R1 was brought to the hospital upon admission. AD Mai was contacted by hospital staff upon finding his business card in R1’s pocket.

Hospital records note R1 did not recall the event and was unclear how they came to be in Orange County. LPA attempted to interview R1 who refused to speak with LPA.

Therefore, based on the preponderance of evidence through records reviewed and interviews the allegation facility staff did not adequately supervise resident while in care is determined to be SUBSTANTIATED, meaning the complaint allegation is valid and that a violation has occurred.

The following is being cited per California Code of Regulations Title 22 Division 6 Chapter 8.

An exit interview was conducted with Caregiver Quy "Anna" Mai and Ngoc “Nick” Mai over the phone and a copy of this report and appeal rights was provided.