Complaint Investigation Report
The investigation revealed the following: Regarding allegation: Staff did not assist resident with walking. It is alleged staff was requested to walk resident up and down the hall and facility hasn't done that. During interviews with 13 out of 14 residents it was stated staff assist them with walking when they request for assistance and 1 out of 14 was unable to answer due to cognitive skills. During interviews with staff 5 out of 5 staff interviewed stated to assist residents with walking when requested and if the residents show change in condition staff report it to facility's wellness department to obtained further assistance. Administrator stated staff does assist residents that need help and will request physical therapy for those that need more assistance. Documents reviewed revealed R1 does require a walker but no notes on need for physical therapy were observed. R1's responsible party stated R1 is able to walk without assistance.
Based on interviews and documents reviewed the preponderance of evidence has been met, therefore the allegation is found UNSUBSTANTIATED.
Regarding allegation: Staff did not protect resident's personal items. It is alleged that resident's personal items were stolen by staff. During interviews with residents 8 out of 14 residents stated to not have lost or think items might have been stolen from their rooms. 5 out of 14 residents stated to have lost clothes or money at the facility and some reported to the administrator. Interviews with 2 out of 5 staff stated residents usually misplace items and 3 out of 5 staff stated there have not been reports from residents stating to have lost items. Administrator stated residents usually misplaced items and staff looks and will find items in residents' rooms. Documents reviewed for R1 revealed, Resident Personal Property and Valuables revealed the following items do not match the list of missing items. R1's responsible party stated items listed as missing do not belong or have been left in R1's room.
Based on interviews and documents reviewed the preponderance of evidence has been met, therefore the allegation is found UNSUBSTANTIATED.
Exit interview was conducted with Pamela Parsons and a copy of this report was email for signature and provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction