Complaint Investigation Report
The investigation revealed the following:
Allegation: Staff do not provide resident with comfortable accommodations . It is alleged that residents appeared to be neglected and were often kept confined to their rooms without proper monitoring or routine care checks. Staff interviewed stated that there’s adequate staffing but due to the facility's recent renovations, staff acknowledged that they did not allow residents to leave their rooms or offer activities despite conducting regular safety checks on the residents. Staff indicated that they haven't been able to encourage the residents to take part in various activities because there aren't any activities planned for the residents. Residents interviewed stated that they spend all day in their rooms listening to music or watching television. Some residents stated that they typically stay in their rooms because there were no activities offered to them. Documents reviewed revealed that the facility lacked a documented care plan to monitor safety checks and routine care for residents, especially incontinent residents. Additionally, the medication administration records (MARs) were not documented properly including not initialing the medications that were administered. Although LPA did not observe uncomfortable accommodation during the facility inspection, it was observed that despite having (2) staff members on duty, residents were not encouraged to leave their rooms to socialize or engage in any activities. Therefore, there was sufficient evidence to corroborate with this allegation.
Based on LPA’s observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Deficiency cited on the attached LIC 9099D.
An exit interview was conducted, and a copy of this report was provided to the Administrator, Jacklyn Peng Lee Concepcion, along with the Appeal Rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction