Complaint Investigation Report

Pasadena Villa Senior Living, Pasadena08/25/2023Licence 198603286

Census76
Date signed08/25/2023 02:38:01 PM
Name of licensing program analystLuis Mora
Name of licensing program managerWei Siew Ho
The inspector’s account

The investigation revealed the following:

Regarding the allegation " staff left resident soiled for an extended period of time ", it is alleged that on 09/06/2022, R1 had a bowel movement and requested assistance from S1 to get changed, but S1 refused to assist R1 and R1 had to wait until 2am to be changed by S2. Assistant Administrator stated this incident was never brought up to his attention by R1. S2 denied the allegation. Residents interviewed could not corroborate the allegation. There were 3 residents that stated they have never soiled themselves, but believed that staff would provide timely assistance. The other 3 residents stated that they have soiled themselves in the past and staff provided timely assistance.

Regarding the allegation " staff do not provide quality food to residents ", it is alleged that the food at the facility tastes and looks like cat food. Facility denied the allegation and stated they follow a dietician's recipe to prepare good quality food. Residents interviewed could not corroborate the allegation. During the tour of the kitchen on 11/03/2022 and today, LPA observed that the food had good presentation.

Regarding the allegation " staff do not assist with resident's showering needs ", it is alleged that R1 did not received the scheduled shower on 0 9/02/2022. Assistant Administrator stated that R1 did not received his scheduled shower on that day because R1 was not at the facility. There is text message dated 09/04/2023 between Assistant Administrator and a staff where the staff texted the Assistant Administrator that R1 was not in the facility on 09/02/2022. Residents interviewed could not corroborate the allegation and expressed no concerns.

Regarding the allegation " staff do not provide resident with clean clothing ", it is alleged that R1 is not getting assistance with changing clothes. Assistant Administrator and staff denied the allegation. They stated that R1 was offered a change of clothes every morning. Residents interviewed could not corroborate the allegation and expressed no concerns.

Regarding the allegation " staff do not provide resident with clean linen ", it is alleged that R1 's bed sheets are supposed to be changed twice per week, however that does not happen. Assistant Administrator and staff denied the allegation and stated that bed sheets are changed once a week or as needed. Residents interviewed could not corroborate the allegation and expressed no concerns.

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