Senior Care Records.

Complaint Investigation Report

Montgomery Springs Manor, Hayward03/08/2024Licence 015601506

Census15
Date signed03/08/2024 08:10:08 PM
The inspector’s account

Allegation: Staff made inappropriate comments towards resident.

It was alleged that staff (S1) tells R1 "that's your problem" and call R1 "bitch". Although 4 of the staff stated it was R1 who always say "bitch" to the staff and other residents, S1 admitted to telling R1 "it's your problem if you don't ignore e R1" when R1 called S1 when R2 was bothering R1.

Allegation: Staff did not prevent resident from engaging in inappropriate behaviors.

It was alleged that R2 keeps on following resident (R1) around and barging into residents rooms and staff is not doing anything. It was further alleged that R1 was upset due to staff sitting R2 next to R1 in the dining table.

Four of the staff stated R2 has wandering behavior. One of the two residents interviewed stated staff do nothing to get R2 out of his room while the other one stated the staff yells at R2 to have R2 go out from the residents' room but most of the time, do nothing at all and R1 gets agitated when R2 goes to R1's room. Review of R2's record showed R1 has wandering behavior which LPA observed R2 wandering and going in and out of residents' rooms, kitchen, dining and hallways the whole time LPA was conducting investigation. LPA further observed and upon interview learned that there's only caregiver on duty from 6:00 a.m. to 3:00 p.m., and 1 caregiver from 3:00 p.m. to 11:30 p.m. and most of the time not able to redirect R2 right away when R2 goes to residents' rooms.

Based on the information obtained, the preponderance of evidence has been met, therefore the allegations of "Staff made inappropriate comments towards resident" and "Staff did not prevent resident from engaging in inappropriate behaviors." are substantiated.

Deficiencies are cited from Title 22 California Code of Regulations, and listed on 9099Ds. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalties.

Deficiencies and plan and proof of corrections were discussed with Mirriam Paras over the phone.

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction