Complaint Investigation Report

Lack of supervision resulting in resident wandering away from facility:

On 01/12/2022, the Department received an incident report that resident R1 was missing. On 01/12/2022, around 10:00AM, resident R1 was found not in his/her room. Facility staff looked for R1 in the facility, backyard and neighborhood, but were unable to find R1. Facility staff notified Licensee immediately. Around 1:35PM, staff notified R1's family member, and at 1:50PM staff called police department. At 7:05PM, R1 was brought back to the facility by Police officers. Staff evaluated/assessed R1, no bruise or injury were found.

On 01/19/2022, LPA interviewed licensee Linda Arciaga (LCN). LCN stated he/she and staff (S1) drove the car to look for R1 till 6:00PM after he/she receive the notice from Administrator that R1 was missing, but were unable to find R1. LCN stated the facility was going to install audio alarm for the main entrance. LPA interviewed Administrator (ADM) Remedios Floresca. ADM stated R1 was last seen around 9:00AM on 1/12/2022, and he/she found R1 was missing around 10:00AM. ADM stated he/she notified LCN immediately. ADM stated R1's family member was notified around 1:35PM, and Police Department was notified at 1:50PM. R1 was brought back to the facility around 7:05PM on 1/12/2022. LPA interviewed staff S1. S1 confirmed he/she drove the car with LCN from morning to 7:00PM on 1/12/2022 to look for R1, but were unable to find R1.

Reviewing R1's physician report, R1 is ambulatory, sometimes confused and is unable to leave the facility without assistance. Based on the interviews and document reviewed, the facility staff were not aware of R1 going out the facility without notice. R1 wandered away from the facility, and was found by police officers. R1 was brought back to the facility by police officers.

The Department has investigated the above allegation. Based on documents reviewed, and interviews conducted, the preponderance of evidence standard has been met. Therefore, the Department found the above allegation to be SUBSTANTIATED .

Deficiencies are being cited. See LIC 9099-D.Exit interview conducted with LCN. The report was provided to ADM for signature. A copy of this report was provided to LCN. Appeal Rights was provided.