Senior Care Records.

Complaint Investigation Report

Humble Haven RCFE II, Palmdale05/19/2024Licence 197610008

Census3
Date signed05/19/2024 04:28:04 PM
The inspector’s account

Allegation: Staff abandoned resident at hospital.

The details of the complaint alleged facility staff abandoned the resident at the hospital. The complainant reported resident #1 (R1) was admitted on 01/18/24 and that home care staff refused to accept (R1) back at the facility. The complainant stated that (R1) does not require additional higher level of care needs. The complainant reported when the hospital reached out to coordinate (R1) release and was informed by staff that (R1) could not return.

According to resident #1 (R1)’s Admissions Agreement Residential Care Facilities for the Elderly is self-responsible and did not have a conservator, power of attorney, or guardian. Admissions Agreement revealed to be unsigned and undated by (R1) and facility representative.

On 01/17/24 at 12:55 pm, Licensing Program Analyst (LPA) Melissa Spaeth interviewed resident #1 (R1). (R1) claimed to be an Assisted Living Waiver (AWL) recipient and should have not to pay anything. (R1) claimed to dispute the additional cost the administrator is charging. (R1) did not sign the Admissions Agreement due to the cost dispute. (R1) reported that the administrator issued (R1) a 30-day Eviction Notice on 01/11/24. (R1) claimed the administrator is attempting to evict (R1) based on non-payment. (R1) stated to have been placed in the facility on 12/20/24.

On 05/18/24, between 02:45 pm – 03:31 pm, Licensing Program Analyst (LPA) Ernand Dabuet interviewed administrator #1 (A1) by telephone. (A1) confirmed that (R1) was a resident at the facility and the facility provided care and supervision services for approximately 29 days. (A1) reported to have issued a 30-day Eviction Notice to (R1) in person served by a care staff. (A1) claimed to have notified Community Care Licensing (CCL) of the eviction by faxing the Eviction Notice to the Woodland Hills South Adult and Senior Care Regional Office. (A1) was uncertain of the date the notice was dated and issued nor the date it was sent to (CCL). (A1) did not follow up with the (WHS) Regional office to determine if notice was received or was authorized for approval.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction