Complaint Investigation Report
Residents are equipped with a call button that they wear on their necks, which when pressed the staff are alerted. R1 would not use the call button. Staff were aware that R1 would not use call button, rather would transfer alone. According to staff interviews, they were not sure if R1 was able to comprehend the purpose of the call button. R1 was diagnosed with Dementia on 02/07/2017. However, staff interviewed state they were unaware of R1’s Dementia diagnosis. The above allegation is substantiated.
A $500 immediate civil penalty is assessed on this day for violation which resulted to the injury of R1. Civil penalty determination related to serious bodily injury is pending.
Allegation: Facility did not provide resident’s representative with proper notification of eviction
On 3/2/2022, LPA Luisa Fontanilla interviewed Lisa Lostica, Business Office Manager (BOM). BOM states there was no eviction letter issued to R1. R1’s change in condition prohibits facility from taking R1 back. Based on records reviewed, facility did not take R1 back due to R1 needing two persons to assist, R1 not participating in caregiver ADL assistance and that R1 was diagnosed with Dementia. And that the facility is not a dementia facility. However, facility failed to provide LPA reassessment record.
On 3/15/22, LPA L. Fontanilla reviewed R1’s Admission Agreement signed by R1’s responsible person on 3/9/2013. LPA observed Xlll Basic Services Section S states “Dementia Services. The Community features a specialized Memory Care Program that is designed for those Residents with Alzheimer’s disease or related Dementias………” This allegation is substantiated.
Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC 9099 D.
Exit interview conducted with Senior Business Office Manager. LIC9099D, Appeal Rights and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction