Complaint Investigation Report

Pasa Alta Manor, Pasadena05/08/2023Licence 198603295

Census87
Date signed05/08/2023 01:13:35 PM
Name of licensing program analystAlma Gonzalez
Name of licensing program managerWei Siew Ho
The inspector’s account

Investigation revealed the following: Regarding allegation, Staff did not administer residents medication , it is alleged that facility staff did not give a facility client their medications during the day which resulted in the client not feeling well the next day. Interviews conducted with Administrator Tricia Pedroza and S1 revealed that all clients are given their medications as prescribed by their doctor. They stated that once staff give the clients their medications staff then complete and fill out each client's MAR each time a dose is given. They stated that if a client refuses to take their medications it is properly documented and also reported to the client's doctor as well as Community Care Licensing Division (CCLD) and any other applicable agencies. They stated that they are not aware of any facility client not feeling well due to not taking their medications for a whole day. Interviews conducted with 7 out of 8 clients revealed that they do not have any concerns with medication administration and stated that they get their medications timely every day. 1 client stated that they do get their medications every day but they missed their medications three times due to being asleep but that staff did bring the medications to their room. 7 out of 8 clients stated that they are satisfied with the services that they receive at the facility. LPA reviewed C1-8 MARs and did not observe anything that is of concern. MARs were properly completed with staffs initials for each client. LPA's observations of facility medication room did not reveal anything of concern. Based on LPA review of documents and statements gathered from interviews conducted with staff and clients there was not enough supportive evidence to concur with the reported allegation.

For allegation, Staff took residents clothing , it is alleged that staff took all client's clothing away and the client was only left with the clothes that they were wearing. It is also alleged that certain staff take client's clothing. Interviews conducted Administrator Pedroza and S2-4 revealed that staff only collect clothing that clients want washed. They stated that each client has a scheduled laundry day which is done once a week. Laundry day is for clothes and also for linens and bedding. They also stated that there is one client that requires their laundry to be done more than once per week due to accidents that the client has. They stated that the client will go out at times to do their own laundry because they do not want staff to see the state of their clothing. Facility staff denied taking any clients clothing and not returning it. Staff stated that once the client's clothing is washed it is returned to them. Interviews conducted with 6 out of 8 clients revealed that they are satisfied with the laundry service that the facility provides and stated that they do not have any concerns. 1 client stated that they like to go out and do their own laundry due to preferences of laundry machines. 1 client stated that staff have expressed to them that they want to throw the client's clothes away due to the client soiling their clothes. 7 out of 8 clients stated that they are satisfied with the services that they

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