Complaint Investigation Report

LPA Gardner received R1’s physician’s report that states R1 has wandering behaviors. LPA Gardner received R1’s Resident Admission Appraisal that states R1 needs special observation at night because resident will leave. R1 lives in a cottage building behind the main facility building that requires staff to leave the main building to check on the resident. The day the incident occurred the resident went over two (2) hours without staff checking on the resident. The facility did not put additional safety measures in place to ensure R1 was safe due to R1's wandering behaviors.

Based on the information found and provided, the allegation listed above is deemed SUBSTANTIATED.

A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met.

During today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report was discussed and provided to Assistant Maria Jasmin Dolores, along with a copy of the appeal rights.