Complaint Investigation Report

Administrator stated that on 07/25/2024 in the morning she received a call from a morning staff (S2) that had just clocked in (8:10am) and this staff reported that there was a puddle of urine on C1's bed and smeared feces on C2's bed. Administrator called the NOC shift staff (S3) and S3 told the Administrator that everything was good when S3 ended the shift. S3 stated that he/she did change C1's bedsheets and changed C1's clothes during his/her shift because C1 urinated on the bed and did another round and checked all clients and beds 15 minutes prior to being relieve by S1 and he/she did not see or smelled any urine or feces on the clients beds. S3 stated that around 7:30am S1 came to the facility and relieve S3, S3 told S1 that everything was good and that C1's bedsheets were replaced with new sheets. S3 also stated that clients were still in bed when his/her shift ended. S1 stated when he/she came in he/she did a body check on the clients in the living room and started working on some paperwork, but he/she did not see or smelled any feces or urine on the client's bed. S2 came in at 8:10am and that is when S2 discovered the clients' bed with the smeared feces and puddle of urine. Administrator stated that there was some conflict between her and S2 over the phone regarding this matter and S2 was asked to clock out, therefore, the Administrator came to the facility to resolve the issue.

Based on LPA's interviews, the preponderance of evidence standard has been met, therefore the allegation is found SUBSTANTIATED. California Code of Regulations Title 22, Division 6, and Chapter 1 are being cited on the attached LIC 9099-D.

Exit interview held and a copy of the report and appeal rights was provided.