Complaint Investigation Report

A permanent administrator (Staff 1) was in the process of renewing their certificate, but would be assist in managing the facility before being officially named AdministratorThe previous administrator resigned on or about 7/12/2023. Staff 1 was disassociated from the facility on 12/18/2023. On April 29, 2024, Regional Director of Operations informed CCL they were leaving their position and another interim staff would oversee the Administrative role. CCL requested documentation for the certified Administrator associated with this facility. Multiple responsible parties interviewed confirmed there had been no permanent Administrator for the facility from December 2023 to February 2024, at time of interview. From 7/12/2023 to 10/11/2023, and 12/18/2023 to present, the facility did not have a Certified Administrator on record with CCL. Based on the information obtained, the allegation is deemed Substantiated at this time.

On the allegation: Staff are not providing adequate care and supervision. It was alleged that staff were not providing adequate supervision to the residents in care.

LPA reviewed incident reports received from the facility. On 1/10/2024 at 1pm, Resident 2 (R2) was observed to exit the front gate when a visitor entered the gate. Staff went to redirect the resident back into the facility. On 2/2/2024 at 3pm, staff received a call from the police that R2 was in their care, as they found R2 at a bus stop. Staff conducted a search to ensure no other residents were missing. The incident reports states to prevent future occurrences, staff had an in-service training on resident safety. It also states in the future staff will escort visitors to the front gate to ensure residents do not follow visitors out. Staff did not know R2 had left the facility until the police called.

Based on the evidence obtained, the allegation is deemed Substantiated at this time.

Exit interview conducted, copy of report given.