Complaint Investigation Report

***This licensing report supersedes the previous licensing report dated 05/19/26 in order to clarify information obtained during the complaint investigation. The investigation findings will remain the same***

Regarding the allegation: Staff do not accord privacy to resident in care. It is alleged that the facility staff are not providing residents with privacy during residents’ visit with their third-party medical professional visits ordered by the resident’s primary physician. Interviews with staff denied the allegation. Staff stated they are required to document observations and report the prognosis of residents’ medical conditions. Staff also stated being instructed by the Executive Director to attend the medical appointments between R1 and their Primary Physician Care Nurse. Interviews with nine (9) of ten (10) residents could not corroborate the allegation. Documents reviewed revealed staff went to R1’s room on multiple dates to observe and report the interaction between R1 and R1’s nurse, who is a licensed medical professional. Per Title 22 Regulations, staff do not have the right to attend residents’ medical appointments between residents and their health care professionals. Staff are to communicate with the medical professional after residents’ medical appointments. According to residents’ interviews, R1 made repeated attempts to refuse facility staff to participate in R1s medical appointment at the facility, however, R1’s request to staff for privacy have been denied by facility staff. The facility staff is not providing residents with privacy when R1’s Primary Physician’ Care Nurse provides medical treatment to R1 at the facility. Per interviews conducted, R1’s Primary Physician’ Care Nurse conduct visits to the facility three (3) times per week, and each time R1’s request to staff for privacy has not been honored by facility staff. Therefore, the investigation revealed that staff are not providing R1 with privacy.

Based on LPAs interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiencies per the California Code of Regulations, Title 22, Division 6 & Chapter 8 were previously issued on 05/19/26, therefore no citation is being issued on today’s visit.

Exit interview was conducted and copy of 9099, 9099C were provided to Executive Director LeeAnn Hefner.