Complaint Investigation Report

Allegation #1: Staff handle resident roughly.

The details of the complaint alleged that resident #1 (R1) was handled inappropriately by staff #2 (S2). The complainant reported that (R1) was handled by (S2) and had thrown (R1) on the bed face first. (R1) hurt the small toe when (S2) shoved (R1) foot forcefully.

According to resident #1 (R1’s) Admissions Agreement (dated: 04/27/23) and Identification and Emergency Information LIC 601 (dated: 04/27/23), (R1) was admitted at Burbank Senior Villa East on 04/27/23. Voluntary termination of residency on 06/30/23 by (R1) due to needing a higher level of care.

On 05/08/24, between 10:30 am – 11:45 am, the Department interviewed (8) out of (9) residents #2 - #9 (R2-R9) were complimentary of the staff and stated they adequately are serviced with their daily needs. (R2-R9) were unable to confirm this allegation that staff had mishandled them inappropriately.

On 05/08/24, between 12:20 pm – 01:17 pm, the Department interviewed (4) out (4) staff #1-#4 (S1-S4) who refuted this allegation. (S2) denied ever handling (R1) in a forceful manner and stated these accusations were false. (S2) described (R1) as an unpredictable resident who had some pleasant and complimentary days, and some discouraging days, and would embellish stories. (S1-S4) reported that all staff have taken mandatory “Physical Care Training” in-service training.

On 05/09/24, between 11:09 pm – 11:51 pm, the Department interviewed administrator #1 (A1). (A1) claimed this allegation is not true. (R1) was never handled inappropriately by staff. Our staff are mandated reporters and if an incident like this happened it would have been reported. (A1) stated this type of action on our residents is unacceptable and would warrant an investigation and disciplinary action or termination. (A1) stated there have been no reports from (R1) on any of our staff including (S2) of their unsatisfactory services. Based on the information gathered, there is no sufficient evidence to validate the allegation mentioned above.

Allegation #2: Staff have not ensured resident has closet space.

Allegation #3: Resident's room is malodorous.

It is alleged that resident #1 (R1) was not provided a closet space. The complainant reported that (R1) was not provided a closet space for (R1’s) clothing. The complainant claimed (R1’s) former roommate had lots of personal belongings piled up and made the room smell. (Evaluation Report continues LIC 9099-C)

*This report serves as an amendment to clarify the finding. It does not supersede the complaint investigation findings reflected on the report created on 05/10/24.