Complaint Investigation Report

Allegation: Lack of appropriate care and supervision resulting in residents being left alone for extended periods of time.

The details of the complaint alleged that clients in care are being left alone for long periods of time day and night.

On June 25, 2025, at approximately 2:00 p.m., during the records review, LPA Iniguez observed a Copy of the facility staff schedule dated May 19, 2025. LPA Iniguez observed that there are (15) facility staff listed on it, and on any regular day, there are approximately (10) facility staff in the morning and afternoon and (3) at nighttime. In addition, LPA Iniguez reviewed the Personnel Report, or LIC 500, dated 2/25. LPA Iniguez observed that the same people listed in the schedule are also listed on the Personnel Report. Moreover, LPA Iniguez reviewed (C#1-C#7)’s Physicians Report for Community Care Facilities or LIC602 and Preplacement Appraisal Information or LIC 603 dated: 6/15/22, 4/5/22, 4/25/24, 5/23/24, 3/19/19, 9/4/24, 12/31/18. LPA Iniguez observed that (7) out of (7) clients in care, it is listed on their reports that they can care for all personal needs, do not need constant medical supervision, and can leave the facility unassisted.

On June 25, 2025, at approximately 11:00 AM, during an interview with the Administrator (A#1), he stated that the facility has enough staff to care for the client’s needs. Additionally, (A#1) stated that clients are not left unsupervised day and night; “we have staff 24/7.” In addition, (A#1) stated that the facility has approximately (10) facility staff in the morning and afternoon and (3) at nighttime.