Complaint Investigation Report

On 10/13/2023, Consumer 1(C1) arrived at the facility in the morning and was initially at baseline. Later in the day, C1 became agitated by Consumer 2 (C2) and was observed by Staff 1 (S1) running out of the facility. Staff 1 (S1) and Staff 2 (S2) followed C1 out of the facility and observed C1 to engage in dangerous behaviors.

S2 then contacted the police to assist in the search for C1 and also contacted the Administrator, Staff 3 (S3) and C1's care provider to inform them of the incident. S1 then contacted Staff 4 (S4) to assist in the search of C1. S2 also employed the help of Staff 5 (S5) in an attempt to search for C1. S1 and S2, found C1 hiding next to trash cans. S2 then notified the police of C1’s location. C1 was put on a 51/50 hold and paramedics transported C1 to the the hospital. The facility followed all aspects of their Absentee Notification Plan.

Interviews with consumers and staff did not corroborate the allegation that facility staff demonstrated a lack of supervision resulting in an AWOL.

Based on the evidence obtained and reviewed, the allegation that facility staff demonstrated a lack of supervision resulting in an AWOL is Unsubstantiated, as the preponderance of evidence standard was not met. An exit interview was conducted with Director Griggs, and a copy of this report was provided to Ms. Griggs.