Senior Care Records.

Complaint Investigation Report

Country Inn of Downey, Downey12/12/2023Licence 197803745

Census63
Date signed12/12/2023 02:41:32 PM
Name of licensing program analystTena Herrera
Name of licensing program managerDavid Sicairos
The inspector’s account

The Investigation Revealed the Following:

Allegation: Staff did not provide resident with copies of admission paperwork.

It is alleged that staff were reluctant on providing copies of admission agreement and physician report to R1. Interviews with 4 Staff, 4 out of 4 staff denied the above allegation, 3 staff stated that R1 has asked for copies of paperwork and each time copies have been provided to them. Interviews with 9 Residents, 8 out of 9 residents denied the above allegation and stated that either they were provided copies of their admission paperwork upon admission or that they can't remember but feel confident that the staff will provide them with copies if they were to ask. R1 stated that as of now they do have copies of their admission paperwork and their physician report.

Allegations: Staff denied resident from using their motorized wheelchair. Staff did not ensure residents motorized wheelchair stayed charged.

It is alleged that staff does not allow R1 to use their motorized wheelchair and the location used to store the motorized wheelchair does not have an outlet to charge them, therefore, wheelchairs remain uncharged. LPA reviewed Facility House Rules (signed by R1) and within the house rules it does indicate that "Unless special arrangements have been made; electric wheelchairs and other personal motorized transportation equipment are not allowed in the facility". LPA reviewed R1's Physician Report and it does not indicate that R1 must use an electric wheelchair to ambulate. Interviews with 4 Staff, 4 out of 4 Staff deny the above allegation and state that R1 is able to use their electrical wheelchair and charging is done within R1's private bedroom. S4 stated that in the case that their is no room in a residents bedroom, residents are able to store and charge their electrical wheelchairs in the facility basement. LPA interviewed R1 in their bedroom and observed two electrical wheelchairs one that they were using and another stored in room, R1 indicated that they are able to use their electrical wheelchair in the facility. Interviews with 9 Residents, 8 out of 9 Residents deny the above allegation and stated that they have never been denied access to their medical equipment, including but not limited to wheelchairs.

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