Senior Care Records.

Complaint Investigation Report

Hamilton Villa, Pomona04/29/2022Licence 198600271

Census52
Date signed04/29/2022 02:12:52 PM
Name of licensing program analystElizabeth Irra
Name of licensing program managerChristine Yee
The inspector’s account

Allegation: The facility has a variety of insects. During this course of this investigation, LPA interviewed Facility Administrator, S-1, S-2 and S-3. LPA also interviewed C-1 through C-5. LPA also reviewed C-6 file and obtained relevant documentation. Staff interviews revealed that the facility has not had insects (spiders and/or termites). Staff interviews also revealed they have not received any complaints nor concerns from anyone in regards to the facility having insects. Interviewed Clients indicated they have not observed any spiders and/or termites in this facility. Interviewed Clients indicated they have not heard anyone complaining about this facility having insects. Staff and Client interviews do not corroborate this allegation.

Allegation: The facility is dirty. During this course of this investigation, LPA interviewed Facility Administrator, S-1, S-2 and S-3. LPA also interviewed C-1 through C-5. LPA also reviewed C-6 file and obtained relevant documentation. Staff interviews revealed that the facility is maintained cleaned. Staff interviews revealed there has not been any feces on the toilet seats and that staff do not use the same mop used for the floors to clean toilet seats. Per Staff interviews, staff use a designated toilet brush to clean toilets. Additionally, staff interviews revealed that cleaning supplies are replenished on a weekly basis. Client interviews revealed the facility is clean. Interviewed clients indicated they have not observed feces on toilets nor have witnessed any staff cleaning the toilets with mops. Staff and Client interviews do not corroborate this allegation.

Allegation: The resident was given a medication with no doctor’s order. During this course of this investigation, LPA interviewed Facility Administrator, S-1, S-2 and S-3. LPA also interviewed C-1 through C-5. LPA also reviewed C-6 file and obtained relevant documentation. Staff interviews revealed medications are administered at the medication room. Staff that administer medication indicated they only administered medications that have a doctor’s orders. Per staff, medications are noted individually for each Client on a Medication Administration Record (MAR). Additionally, staff revealed that each Client file has a list of the Clients medical physicians contact information noted on the LIC 601 form. Client interviews revealed that clients receive their medication on a consistent basis and that staff do not administer any medication that are not ordered by their doctor. Staff and client interviews do not corroborate this allegation.

Refer to LIC 9099C for the continuation of this report.

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