CONSUMER RIGHTS AND SERVICES Complaint Intake Report CumpIaIm ID- E74365 ConImI Dale (is/25mm new PM OA ReVIew Daie- 05/231an7 05 PM Received Via- PHONE CALL Received Dale (is/25mm new PM 0A Reviewed By' REVERLV FERGUSONVWILLIAI Reoewed Ey LALIRA RAMOS Dale Inves1IgalHJn Regan Recd' Won/umm Ancinymaus' No Region as 7 SAN ANTONIO Seni IO 05/231an7 05 PM Saved Daie- dam/mm Priumy ON OR 24 HOURS Priumy Daie' 05/23/an7 Redirected Agency- LSC Type- ReIenaI Type ReIenaI Tracking th' AoknewIedged Ey Complainam was advised ai me Iinie oi iniake cempIaim would be Repon Received' No '"Ves'iga'm Daie Acknawiedged' maximum Cus1cimer -- ausiness Addiess- -- Io ResIderII OTHER Meare OI Gonnaoi TELEPHONE --7 Phone --I CELLULAR Only one phone numbel pmvided Epranauen oI mMIden Id' mama Name- COURT AT VICTORIA Sewice Type TVPE 5 Adams: 1303 .IOHN STOCKBAUEH DR Phone' 1351 Coumy- VICTORIA VICTORIA, 772m Regionaiceniaoi ANDRES GARCIA Divechuns' NunrReg DADS Repmed Io PnIIce' No Daie Repnned Oman/won Genemi NcIIes' ON AUGUST 25, 2017 THE FACILITV WAS COMPLETELY EVACUATED AND EVERVONE WAS REMOVED WITH THE EXCEPTION OF RESIDENT-- THE FAciLiTv WAS LOCKED UP AND DOWN, WITHOLIT DOING A SWEEP TO MAKE CERTAIN ALL RESIDENTS WERE SAFELV AND AGCOLINTED FOR RESIDENT-- WAS FORGOTTEN AND LEFT IN A LOOKED ROOM THE RESIDENT WAS SCARED AND LATER THAT DAY, VICTORIA POLICE DEPT THE RESIDENT FRIGHTENED AND LOCKED ALONE IN HER ROOM THE RESIDENT WAS TRANSFERRED TO DETAR HOSPITAL IN VICTORIA, Tx FOR EVALUATION LATER, THE RESIDENT WAS TRANSFERRED TO REGIONAL HOSPITAL IN SEGUIN, Tx THE HOSPITAL STAFF STATED THAT THE RESIDENT DOES NOT MEET CRITERIA FOR ADMISSION AND ARE TRVING TO LOCATE FAMILY TO DISCHARGE THE RESIDENT THE COMPLAINT WOULD LIKE THE FAGILITV INVESTIGATED DFPSA seawsei NOTE os/zam- REG ma NOTIFIED OF THE Pl PRIORITV RFWILLIAMS AIIegaIIons NEGLEGT SIaIus- OPEN Occuned' Daie' 0010010000 TIme' Neies Page I oiz dens/2m mun pm