Complaint Investigation Report

Facility staff were unaware of the fire until the fire department arrived, and they went outside. R1 was arrested for felony arson and is currently in custody pending hearing, with no bail. R1’s medical assessment indicates that R1 is allowed to leave the facility with accompaniment due to significant history of AWOL (Absence Without Official Leave). Although R1 was technically on facility grounds when the fire occurred, the building where R1 set the fire is unoccupied at this time and required that R1 exit the occupied area of facility and walk around to the unoccupied area. Staff did not provide adequate supervision to R1 resulting in not ensuring a safe environment for 15 of 15 residents in care at time of fire. This posed an immediate risk to the health, safety, or personal rights of residents in care.

Deficiencies cited in the attached 9099D for violation of Division 6, Chapter 1, Article 06., Section 80078. Appeal rights provided, and exit interview conducted with Chief Administrative Officer.