Complaint Investigation Report

Based on reviewed facility records, interviewed staff, and clients in care, on the information provided, it was unclear if facility air condition is in disrepair, therefore the allegation was deemed UNSUBSTANTIATED.

Staff did not provide adequate supervision to residents resulting in resident’s eloping from the facility - LPA Lund reviewed facility records, interviewed staff, and residents in care. Client (C1) LIC602 states that C1 can leave the facility unassisted. On 5/31/2025 C1 eloped from the facility and returned on 6/2/2025. The facility has a elopement protocol which followed. Staff interviewed stated they have procedures clients in care regarding elopement procedures. Residents interviewed stated that staff do check there rooms to see if they are there and walk around to check on clients.

Based on facility records review, interviews with clients and staff on the information provided, it was unclear if staff did not provide adequate supervision to residents resulting in resident’s eloping from the facility, therefore the allegation was deemed UNSUBSTANTIATED.

Staff did not provide communication to residents authorized representatives - LPA Lund reviewed facility records, interviewed staff, and witness. Based on facility records reviewed and interviews with staff, and witness. When a clients in care elopes from the facility the facility has procedures in place to notify facility manager, family member, case manager, conservator, Modesto PD and licensing. The facility will call whom they need to call and send a email to the agency if needed. Staff stated that will notify management immediately if a client in care has eloped.

Based on facility records review, interviews with staff and witness on the information provided, it was unclear if staff did not provide communication to residents authorized representatives, therefore the allegation was deemed UNSUBSTANTIATED.

As a result of this investigation, this Department finds the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted and report left.