Complaint Investigation Report

It was finally reported that this was not the first incident that C1 had been outside without supervision.

Record review indicated that the facility has the responsibility to provide adequate staff to prevent C1 from harming themselves, and from environmental harms by providing meaningful and engaging activities so that C1 may thrive and enjoy a good sense of health and well-being.

Staff interviews indicated that C1 often wanders throughout the facility, and sometimes into the parking lot unsupervised, as C1 is attracted to the "beeping" of the busses. Staff then stated that C1 is difficult to observe as C1 moves quickly throughout the facility, and does not like to be followed. Finally, Staff interviews indicated that C1 has been without staff observation while C1 was outside. This is a violation of regulatory requirements.

Through all of the evidence obtained through staff interviews, as well as record review, this allegation was Substantiated.

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

An exit interview was conducted where a copy of this report was discussed with and provided along with copies of the LIC811, LIC9099D, and Appeal Rights.