Complaint Investigation Report

On 07/03/24 LPA interviewed A1 regarding the allegation above, A1 confirmed the allegation above. A1 stated that blisters and redness were observed on the bottom of C1’s feet during LVN’s body assessment. On 07/03/24 LPA was unable to interview Client #1 (C1) as C1 remains admitted at Long Beach Memorial and due to communication barriers, LPA was unable to interview C2 as C2 was not at the facility, LPA was unable to conduct interview with client #3 (C3) as (C3) did not want to be interviewed. On 07/03/24 LPA reviewed incident reported dated 06/23/24, incident report indicated C1 was admitted into Long Beach Memorial for blisters and G-Tube leakage. On 07/03/24 LPA conducted interview with W2 regarding the allegation above, per W2 facility administrator was very candid and straight forward when reporting the incident. On 07/08/24 LPA conducted telephone interview with staff # 3 (S3) regarding the allegation above, S3 denied the allegation above and reported that C1 was taken outside for 1 minute and did not show any signs of pain. S3 continued to report that C1 did not like wearing shoes and would take shoes off right away. On 07/08/24 LPA attempted to conducted interview with staff #1 (S1) however there was no contact made. On 08/13/24 LPA interviewed Staff #4 (S4) regarding the allegation above, S4 confirmed the allegation and reported blisters were observed on C1’s feet during body assessment.

Allegation: Facility staff failed to properly supervise resident.

It is being alleged that staff #2 (S2) left (2) clients unsupervised inside a running van. On 07/03/24 LPA interviewed A1 regarding the allegation above, A1 confirmed the allegation above. A1 stated that a client reported the incident to A1, A1 then proceeded to ask S2 about the allegation, S2 confirmed and reported S2 was unaware this was prohibited. On 07/03/24 LPA was unable to interview Client #1 (C1) as C1 remains admitted at Long Beach Memorial and due to communication barriers, LPA was unable to interview C2 as C2 was not at the facility, LPA was unable to conduct interview with client #3 (C3) as (C3) did not want to be interviewed. On 07/03/24 LPA reviewed incident report received by department on 06/24/24. On 07/08/24 LPA attempted to conducted interview with staff #2 (S2) however there was no contact made. On 07/08/24 LPA conducted telephone interview with staff # 3 (S3) regarding the allegation above, S3 reported having no knowledge on the allegation above. On 08/13/24 LPA interviewed Staff #4 (S4) regarding the allegation above, S4 reported having no details about the allegation above.

Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 1 and 6 are being cited on the attached LIC 9099D.

exit interview conducted, appeal rights explained and a copy of this report was provided.