Complaint Investigation Report
Based on Allegation: Staff handle residents roughly during diaper changes. Investigation revealed:
Assistant Administrator and S1-S4 informed LPA that they haven't witnessed or observed any staff handling residents roughly when having their adult brief's changed. (5) out of (5) staff informed LPA during interviews that they change every incontinent residents in a proper way that is not rough and deny the above allegation. (5) out of (7) residents informed LPA staff haven't treated them rough when getting their adult brief's changed.
Based on Allegation: Residents are afraid of retaliation from staff if they disclose concerns to the Ombudsman (LTCO) and Licensing (CCLD). Interviews with (7) out (7) residents interviewed on 7/6/23 LPA was informed that resident deny the above allegation and they are not afraid of staff retaliating residents if disclosing information. R1 informed LPA they are not afraid of retaliation by staff but concern they staff ask what was disclosed to CCLD and LTCO. LPA observed CCLD and LTCO posters with information to contact agencies per rights of the residents/ staff and visitors located in the hallway.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
Exit interview held and a copy of the report was provided
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction