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32 | Investigation revealed the following: Regarding allegation, Staff did not follow proper reporting requirements, it is alleged that R1 did not return to the facility on 03/27/24 and that facility administrator filed a missing person report with local law enforcement but did not report the incident to Community Care Licensing Division (CCLD). Administrator allegedly stated that the incident was not reported to CCLD because R1 did not sign an admission agreement and was not considered a resident due to that. Interview conducted with Administrator Rempel revealed that R1 was admitted to the facility on 02/13/24. She denied ever saying that R1 was not a resident of the facility. She stated that R1 would go out for daily morning walks. She stated that R1 went out on 03/17/24, and did not return to the facility. On 03/18/24, Administrator filed a missing person report with Los Angeles Police Department (LAPD) and also created and sent in an unusual incident report to CCLD within 7 days per regulation. She stated that she also called and made a report to Veterans Affairs (VA) Placement Coordinator. Interview conducted with facility administrator revealed that she always makes appropriate reports to all applicable agencies when needed. She stated that she is aware of reporting requirements for all government and local state and county agencies that the facility is affiliated with. Interviews conducted with facility staff revealed that they are properly trained on how to properly report incidents to all applicable agencies when needed. Interviews conducted with facility staff revealed that facility staff create and submit unusual incident reports to CCL within 7 days, and facility staff keep family members, responsible parties and conservators (if any) notified of any incidents involving residents. LPA review of documents revealed that the facility completed and submitted an incident report to CCLD in a timely manner as well as notified responsible party of incident(s) involving R1. Unusual Incident/ Injury Report reviewed was dated 03/18/24. R1's admission agreement was signed and dated on 02/13/24. LPA also observed/ reviewed LAPD Missing Person report dated 03/18/24. LPA additionally spoke with VA Placement Coordinator Mona LeDuc who stated that the facility did call her to report that R1 was missing from the facility. She stated that the facility is very good at keeping the VA informed of any incidents involving resident's receiving services from the VA that are residing at the facility. Interviews with 6 out of 7 residents revealed that facility maintains documentation and when necessary family or responsible parties are notified of incidents and they do not have any concerns regarding facility's documentation. Based on statements gathered from interviews conducted with staff, VA Placement Coordinator, residents and LPA review of records there was not enough supportive evidence to concur with the reported allegation.
For allegation, Staff did not safeguard residents' personal property, it is alleged that on 04/30/24, R2 reported that two gold coins were stolen from their room and that R2 suspects that S4 took them as the staff goes into R2’s room without permission. Additional personal items that were stored in the facility garage were |