Senior Care Records.A MITRYXA product
For operatorsSign in

Complaint Investigation Report

Pasadena Adult Living Center, Pasadena04/10/2023Licence 198602244

Census91
Date signed04/10/2023 05:08:36 PM
Name of licensing program analystBonnie Tao
Name of licensing program managerFernando Fierros
The inspector’s account

***This report serves as an amendment and supersedes the original complaint investigation report created on 03/24/23. The findings remain as Unsubstantiated. ***

On 04/20/22, LPA Gail Johnson and Licensing Program Manager (LPM) Ulysses Coronel conducted a subsequent visit at the facility, interviewed administrator, Staff#1 (S1), reviewed client#1’s files, toured the facility, and delivered finding.

On 03/24/23, LPA Tao conducted another subsequent visit. During the visit, LPA obtained copies of staff and client rosters, interviewed administrator, reviewed clients’ files, conducted a facility tour, and delivered findings.

On 04/10/23, LPA Tao conducted another subsequent visit to re-deliver finding.

The investigation consisted of resident interviews, staff interviews, residents’ files review, and facility tour.

The investigation revealed the following. Regarding the allegation “staff does not provide resident adequate care and supervision,” it is alleged that the facility is not preventing C1 from absent without leave (AWOL). On 02/13/2020, LPA Tao interviewed thirteen (13) clients and three (3) staff. LPA Tao attempted to interview Client #1 (C1) for multiple times at different time and on different days. All attempts failed. Eight (8) out of thirteen (13) clients interviewed could not corroborate the allegation. Four (4) out of thirteen (13) clients denied to be interviewed.

All three (3) staff interviewed denied the allegation. On 4/20/2022, LPA Gail Johnson conducted record reviews indicated that the facility’s in-house psychiatrist was in contact with C1 from 12/03/2014 to 02/26/2020 and needs and services plan were conducted on an annual basis. The most recent needs and services plan was conducted on 05/02/2019. On 04/20/2022, Administrator Garcia stated the facility is not a locked facility, clients had right to come and go as they please. During clients’ admission, facility had advised clients to use the sign out sheet to notify staff on when clients planned to come back and where they were going. Administrator would file a missing person police report within 24 hours if clients are AWOL. C1 went AWOL on 06/01/2020 and never returned.

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