Complaint Investigation Report

LPA attempted to interview three residents but all were determined to be unreliable narrators as they were all exhibiting characteristics of dementia or could not answer LPAs questions.

Regarding providing resident with appropriate care and supervision. LPA observed an adequate number of staff who frequently provided redirection to residents to ensure the resident's health and safety. LPA did not observe residents in the elevators attempting to leave the facility. LPA observed there are three elevator entrances on the 2nd floor memory care unit. All elevators require a sequence of buttons to ensure the elevator will go to the second floor. To leave the second floor, a staff member will enter a password and observe guests getting into the elevator and ensuring doors are closed before returning to regular duties to ensure no residents leave the memory care unit unsupervised.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegations of Neglect/Lack of Supervision are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed.

There are no deficiencies noted or cited per California Code Regulation, TITLE 22.

Exit interview was conducted with the facility assistant executive director. Appeal Rights were issued, and a copy of this report was left at the facility.