Complaint Investigation Report

Progress Notes (dated 04/22/2025-05/12/2025, Ideal Home Health Records (dated 05/06/2025), California Wound Healing Medical Group (dated 05/01/2025), Outside Agency Documentation (dated 02/09/2024-07/23/2024), Special Incident Reports (dated 05/08/2025), and Emails (dated 08/27/2024, 11/06/2024, 04/03/2025, and 05/04/2025).

On 05/14/2025, at 11:30 A.M., the department toured the facility buildings and grounds to observe and identify any signs of neglect, abuse, or other immediate health and safety threats. We did not observe any signs of neglect or abuse during today's visit.

On 05/14/2025, between 9:30 a.m. and 12:30 p.m., LPA Pamela Bunker conducted interviews with staff members #1–#3 (S1–S3). On 05/14/2025, at 12:30 p.m., LPA Bunker conducted interviews with resident #1 (R1) and witness #1–#2 W1-W2).

The investigation revealed the following:

Allegation: Staff did not follow proper eviction protocol

It was alleged that the staff did not follow proper eviction protocol. LPA Bunker interviewed staff members S1 through S3 (S1-S3) regarding the allegation that staff did not follow proper eviction protocol. 2 out of 3 staff members stated that the facility does follow eviction protocol and is not trying to force R1 out by having the resident taken to the hospital as a form of eviction. S1-S2 stated that R1 Case Worker stated R1 needed a higher level of care. 2 out of 3 staff stated that the facility had no records indicating that R1 received a 30-day eviction notice, nor were there any records or special incident reports stating R1 was told not to return to the facility after being discharged from the Hospital.

1 out of 3 staff stated that they did not handle eviction and had no knowledge of the allegation, and confirmed that eviction protocols are handled by the Business Office Administration, not by the caregivers.

2 out of 3 staff members interviewed reported that the facility follows proper eviction protocols, including communicating with a resident’s responsible party when an eviction notice is issued. 2 out of 3 staff members stated that the facility follows Title 22 regulations regarding the eviction process.