Complaint Investigation Report

Allegation: Not enough staff to supervise residents.

Allegation refers too the incident on March 3, 2022 when resident (R3) eloped from the facility and there were not enough staff to monitor the residents.

Interviews conducted in April 2022 with (2) residents confirmed that residents (R1, R2 and R4) were left alone at the facility on 3/3/22, for approximately one hour, while the only staff (S1) on duty, went to find resident (R3) after she left the facility unattended. Text message sent from one resident to a family member notes that on 3/3/22 at 2:20 pm, she and another resident were sitting outside on the porch waiting for S1 to return with resident, R3.

Based on information obtained during the investigation, LPA finds the allegation 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.

Because this incident occurred on 3/3/22, prior to the current license being issued on 3/9/22, this citation and any related citations and civil penalties are being issued on the prior license, #342700078.

Exit interview with caregiver, Diane, which was authorized by Administrator Cleo.. Copy of report provided.