Complaint Investigation Report

Allegation: Facility withheld resident’s personal belongings

During investigation, LPA interviewed staff (MOD) who confirmed that they withheld resident’s (R1) personal belongings from authorized representative (POA) around 1:40PM on 11/01/23 because POA refused to sign for R1's remaining personal items being collected that day which were a wall decor wreath, black IPad, photo album binder, rose colored floral twin quilted bedspread and eye glasses with red case. Review of incident report dated 11/01/23 showed R1's family members came to pick up R1's personal belongings around 1:40PM and became aggressive with staff (pushing staff against the front door, grabbing R1's personal items, yelling at staff) when they refused to sign the release form given by staff for R1's remaining personal items. Based on the department’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that facility withheld resident’s personal belongings was found to be substantiated.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due dates and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted, appeal rights and copy of report provided.