Complaint Investigation Report

107208838-6-29-2022-24-AS-SMOA-CG8JS9-20220711071758

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

10/21/2021 and conducted by Evaluator Mary Garza

COMPLAINT CONTROL NUMBER: 24-AS-20211021101417

Staff used inappropriate words towards resident

On 6/29/22 Licensing Program Analyst (LPA) M. Garza arrived at facility unannounced to deliver findings on complaint. LPA was met by Administrator, Frances Hernandez. LPA explained reason for visit and was COVID pre-screened. LPA was permitted entry into facility. LPA toured facility inside and out. A health and safety check on residents were observed in common areas and in rooms.

During the investigation interviews were completed with staff and Administrator. S3 confirmed that S1 "was not approriately transferring R1" and that S1 "was agitated with R1" and "mad about having to work with them because R1 could be difficut at times". S1 was "aggressive in the way that they would sometimes talk to residents". Administrator stated "due to COVID staff was working in areas that they normally did not work and knew some of the staff were burnt out".

The allegations listed above are SUBSTANTIATED. The poponderance of evidence standard has been met. Per CA Title 22, deficiencies cited in the attached 809D. Appeal Rights given. Exit interview completed.