Complaint Investigation Report

During the incident, staff contacted 911 immediately, and three (3) caregivers followed the resident at a safe distance until emergency responders arrived.

The second incident occurred on 11/24/2025. Documentation indicates that staff were closely monitoring the resident due to known exit-seeking behavior. Staff were unable to redirect the resident at the main gate and contacted paramedics for assistance.

During both incidents, staff maintained visual contact with the resident and continued to follow at a safe distance. LPA conducted interviews with the Executive Director and the resident’s spouse; however, there was insufficient evidence to determine that the resident was left unsupervised for an extended period of time.

Based on interviews conducted and records reviewed, the facility followed its established protocols and remained in compliance with Title 22 regulations; therefore, the allegation is Unsubstantiated .

A finding that the complaint allegation is UNSUBSTANTIATED means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

Exit interview conducted. Copy of report discussed and provided to Executive Director. Signature on form confirms receipt of documents.