Senior Care Records.

Complaint Investigation Report

Elwyn California - el Monte, El Monte04/24/2025Licence 198602891

Census4
Date signed04/24/2025 03:21:34 PM
Name of licensing program analystGlenn Trueman
Name of licensing program managerWei Siew Ho
The inspector’s account

Administrator confirmed that a Corrective Action Plan regarding personal rights is being complied to by the facility.

Interviews with Staff S2-S3 who stated that Client C2 was left in feces and they smelled poop from outside his room.

Stated that Staff S1 prevented Client 1 from using the bathroom leading client to defecate self.

Said Client C2 is being stopped because he is going in his room and is peeing in the closet.

Believe Client C2 is scared of Staff S1 not letting him go to the bathroom and came out distraught and shaking and increasing self injurious behaviors.

Based on LPA's observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22) cited on the attached 9099 D.

In regards to the allegation Staff left client in feces for extended time, based on interviews conducted and information gathered Corrective Action Plan (CAP) by the San Gabriel Pomona Regional Center was issued on 03/21/25 which delivered Substantiated findings regarding violation of consumers rights.

Interviews with Staff S2-S3 who all stated that Staff S1 had entered Client C2's room and he was not changed with there being a poop odor outside his room for approximately 30 minutes until Staff S1 went back into Client C2's room.

Administrator stated that she was aware of Substantiated finding by Regional Center in which Client C2 was stopped from going to the restroom and had feces for 30 minutes.

Based on LPA's observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22) cited on the attached 9099 D.

In regards to the allegation staff threaten resident based on interviews conducted and information gathered Corrective Action Plan (CAP) by the San Gabriel Pomona Regional Center was issued on 03/21/25 which delivered Substantiated findings regarding violation of consumers rights.

Interviews with Staff S2-S3 who stated that Staff S1 lifted his sandal toward Client C2 in a threatening gesture and a loud bang was heard from Client C2's room which sounded like toys thrown around.

Based on LPA's observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22) cited on the attached 9099 D.

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