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Complaint Investigation Report

Leisure Living Homes, the, Claremont06/20/2024Licence 198603694

Census4
Date signed06/20/2024 05:35:35 PM
Name of licensing program analystKimberly Ramirez
Name of licensing program managerTony Vasallo
The inspector’s account

The investigation revealed the following. Regarding Allegation: Staff neglect led to resident sustaining pressure injury- It is alleged R4 sustained an pressure injury while in care due to staff neglect. R4 was admitted into facility on 8/4/2021. R4 began receiving Hospice Care on 07/26/2023. LPA Ramirez reviewed hospice care plan that address wound care by hospice staff. Hospice care narrative note dated 6/12/24, revealed hospice staff observed R4 to be well cared for and hospice staff did not have concerns during visit. Three (3) out of the three (3) staff interviewed deny this allegation. Two (2) out of the three (3) residents interviewed denied this allegation. Due to cognitive impairments, LPA Ramirez was unable to interview R1. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED .

Staff left resident unattended in soaking wet diaper for extended periods- It is alleged R4 was left unattended soaking in wet diaper for extended periods of time. R4 was admitted into facility on 8/4/2021. R4 began receiving Hospice Care on 07/26/2023. Hospice care narrative note dated 6/12/24, revealed hospice staff observed R4 to be well cared for and hospice staff did not have concerns during visit. During facility tour, LPA Ramirez observed facility staff providing R4 with grooming needs in R4’s bedroom. LPA Ramirez observed R4 to be well groomed and R4’s room was not observed to be odorous. LPA Ramirez observed more than 40 unopened bags of adult diapers in facility supply closet and garage. Three (3) out of the three (3) staff interviewed deny this allegation. Two (2) out of the three (3) residents interviewed denied this allegation. Due to cognitive impairments, LPA Ramirez was unable to interview R1. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED .

SEE 9099-C for continued narrative report.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction