Complaint Investigation Report

Allegation #1: Staff made inappropriate comments towards resident.

Allegation #2: Staff are not treating resident with respect.

The complaint stated that the facility staff made inappropriate comments towards Resident #1 (R1) and did not treat (R1) with respect. It specifically noted that Staff #1 and Staff #2 (S1-S2) made unkind and rude remarks and failed to show respect towards (R1). The complaint mentioned that (R1) was temporarily relocated to this facility due to the Eaton fire disaster and no further details were provided regarding these allegations.

On January 22, 2025, between 10:30 AM and 12:00 PM, the Department interviewed Staff #1 and Staff #2 regarding the allegations that they had made inappropriate comments and treated (R1) disrespectfully. (S1) and (S2) denied making impolite comments or suggesting any mistreatment of (R1).

(S1) explained that (R1) had been relocated to this facility during the Eaton Fire in Pasadena, which occurred from January 9 to January 14, 2025, along with three other residents identified as Resident #2, #3, and #4 (R2-R4).

According to (S1), (R1) is diagnosed with a mental health disorder but is independent and capable of completing all activities of daily living. (R1) only requires supervision and medication management. It was noted on (R1’s) Medication Administration Record that (R1) had refused to take prescribed medication for multiple days upon being transferred to Casa Del Sol II Residence. A single missed of medication can affect mood or behavior, potentially causing feelings of anger, agitation, or depression (reference: National Institute of Health). (S1) reported that (R1) was reluctant to cooperate with the assistance provided by care staff members, and the activities were documented in (R1’s) progress communication notes.

On January 22, 2025, between 10:30 AM and 12:00 PM, the Department interviewed witnesses, identified as Witness # 1 and Witness #2. They could not corroborate the allegations in question. (W1), the facility administrator, and (W2), a med-tech at Pasadena Adult Living Center, confirmed that they faced challenges in providing services to Resident #1 (R1). They noted that the actions of the care staff were often misinterpreted as unruly or discourteous, particularly when dealing with (R1), who only needed redirection.