Complaint Investigation Report

On 06/14/24, from 10:00am-2:00pm, LPA interviewed staff (S1-S7) witnesses (W1-W3), and residents (R1-R5) regarding the allegation. 3 of 7 staff denied the allegation that the Staff violated residents' personal rights. 3 of 7 staff interviewed stated that the residents and family members were notified that the residents would be moved to another unit because of construction. They state that the family members were notified by phone or email. Whereas 4 of 7 staff were not sure if the residents’ or family were notified but received complaints from family members that they were not notified.

LPA interviewed W1-W3 about the allegation and 3 of 3 witnesses denied that the facility reported to them or the residents of the relocation to another unit. Witnesses state that their family members were confused and upset about the move and did not know what was going on in the facility. LPA interviewed R1-R5 about the allegation and 4 of 5 residents that were interviewed corroborated the allegation that Staff violated residents' personal rights. A majority of the residents interviewed stated that they and their family members were not notified of the move and felt confused about it and did not know why they were moving. They further state that some of the residents that were moved into their room were not compatible with them. They complained that some of the residents kept screaming that they didn’t know what was going on. LPA reviewed the call sheet provided (No Date) but it did not specify the date, time, or who was notified and that either the resident or family member acknowledged the notification.

Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met. Therefore, the above allegation: Staff violated residents' personal rights, is found to be Substantiated . California Code of Regulations, Title 22, Division (6) and chapter (8) are being cited on the attached LIC 9099D.

Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared.

Deficiencies are issued and plans of corrections were discussed.

The investigation revealed the following : Allegation #2- Staff did not provide a safe and comfortable environment.

The details of the complaint alleged that because of construction and relocation of the residents with no attempt to make sure the residents are compatible and knowledgeable of what’s going on in the facility. It has become very crowded and chaotic, and it appears they are warehousing the residents, with no regard for their feelings, their emotional well-being, or their safety.