Complaint Investigation Report

It was learned that facility staff were present to make sure that R1 did not elope from R1's bedroom and supervised R1 on a one-on-one basis.

It was learned that this facility was not updated, in physical plant measures, to be able to accept a resident who was an elopement risk since there weren't any physical plant measures put into place at this time. It was learned that there weren't door alarms, exit alarms, or any alert system put into place to address elopement behaviors at this time.

It was learned that the resident eloped from this facility and was observed by their family member, who had electronic tracking on R1, when they checked on R1's status to make sure that R1 was still present at this facility. The family member observed that R1 was no longer present at this facility address and contacted the facility, and its staff, to inform them that R1 had eloped. It was learned that the facility staff were unaware that R1 had left this facility through the bedroom window if not by the family member notifying them of the elopement. It was learned that the local law enforcement agency was then notified and staff, along with R1's family members, conducted a search of the surrounding community in an attempt to locate R1. It was learned that they were successful in locating R1 who was then released to the care and supervision of R1's family members and did not return to this facility.

As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.

The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes.

Appeal rights were printed and a copy was left with the facility designated Administrator at this time.