Complaint Investigation Report

Allegation: Staff do not assist resident with incontinence needs.

The details of the complaint alleged that facility staff do not assist residents with their continence needs.

During the records review, LPA observed (R#1)'s Physician's Report for the Residential Care Facilities for the Elderly (RCFE) or LIC 602A, which was dated and signed by a physician on 2/22/2024. LPA noticed that (R#1) is not confused or disoriented but is able to follow instructions and communicate their needs. Additionally, (R#1)'s LIC 602A states that they can care for their own toileting needs with some assistance from facility staff, and that (R#1) is able to transfer to and from a bed independently.

During an interview with the licensee (L#1), he stated that the facility staff assist residents with their daily continence needs. (L#1) noted that there is one caregiver during the morning shift from 6 am to 2 pm, one from 2 pm to 10 pm, and one from 10 pm to 6 am. Additionally, (L#1) mentioned that no resident in care has been left in a soiled diaper for an extended period.

During an interview with resident 1 (R#1), they stated/sign that facility staff assist them in going to the restroom and changing their adult diapers when needed. In addition, (R#1) stated/sign that they can go to the bathroom by themselves. (R#1) only uses night depends, but they can get up in the night to use the restroom and have not been left in a soiled diaper for a long time.

During Interviews with Residents (R#2-R#3), LPA could not communicate with them due to cognitive impairment.

During interviews with facility staff (S#1-S#3), (3) out of (3) care staff stated that they assist residents with their toileting needs. They also mentioned that there are always three caregivers available every day at the facility: one in the morning, one in the afternoon, and one at night. Additionally, (3) out of (3) staff stated that no resident has ever been left in a soiled diaper for an extended period.

LPA attempted to interview the Quality Assurance Specialist for the North Los Angeles Regional Center, but they were unable to reach them by phone.