Complaint Investigation Report

336426759-5-23-2023-18-AS-JESL-CTA62L-20230629202544

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

RIVERSIDE ASC , 1650 SPRUCE ST STE 200 MS29-27

This is an official report of an unannounced visit/investigation of a complaint received in our office on

10/18/2021 and conducted by Evaluator Jesse Gardner

COMPLAINT CONTROL NUMBER: 18-AS-20211018132918

Licensing Program Analyst (LPA) Jesse Gardner arrived a the facility and met with Receptionist Alyssa Rodriguez and Activities Director Reina Celaya. LPA Gardner made Ms. Rodriguez aware of the above allegation. The above allegation was in reference to a complaint generated due to a resident (R1) getting out of the facility on dates 10/12/21, and 10/15/21.

During the tour of the facility, LPA observed the door adjacent to R1's bedroom was able to be unlocked and did not have an auditory device to alert staff that the door was open or could be opened. At the conclusion of interviews, it was determined that R1 was able to exit the facility without detection by staff. During the inspection, LPA Gardner observed the door to be absent of an auditory device or other staff alert feature that would alert staff if door was left open or opened.

Based on interviews and and observstions made on 10/21/2021, this allegation was deemed to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. A copy of this report was reviewed with and provided along with copies of the LIC9099-D, and Appeal Rights. This is an amended version of the original report dated 10/21/2021.