Complaint Investigation Report

Interviews revealed S1 admitted to leaving the resident unsupervised. Interviews also revealed that S1 was very busy cooking and did not notice the resident leaving the facility. Interviews revealed the alarms were not on at the facility so they didn't hear when the resident opened the door to leave. Interviews revealed there was another staff that was at the facility also but was working with another resident while S1 was in the kitchen cooking and feeding the residents. Interviews revealed the police came to the door and asked staff if the resident was a resident to the facility and S1 told the police yes. Interviews revealed that S1 brought the resident back in and notified the administrator.

Based on the evidence obtained from interviews, the complaint allegation is found to be substantiated; as the preponderance of evidence proves the alleged violation occurred.

An exit interview was conducted with Avelino Acedo, Caregiver and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.