Complaint Investigation Report

All staff interviews revealed that on 11/26/2023 the facility experienced an unexpected power outage that triggered all of the exit doors. Staff immediately went to check the exit doors, conducted a headcount, and realized R1 was missing, and began to look for them. R1’s interview revealed that R1’s bedroom is near an exit door at the end of the hallway, they noticed the lights blinking and went out the exit door as they were trying to go to the bank and their house. Neighbors noticed R1 and called the police and R1 was taken to the hospital as they did not want to return to the facility. The facility failed to submit an unusual incident report (LIC624) to CCL and provided a copy of the incident report to the LPA during today’s visit. LIC 624 confirmed that R1 had walked out of the building and taken to the hospital for testing/evaluation after 911 was called by a neighbor. Based on the evidence this allegation is Substantiated at this time.

Exit interview conducted, deficiency cited, copy of report and appeal rights printed for Administrator Ken.