Complaint Investigation Report

On 7/27/23 LPA interviewed R1-R2, per R1, R2 is terrible and has outburst when staff attempts to provide care. R1 reports she has attempted to step in when R2 yells at staff but ends up getting yelled at even more. R1 reports she feels safe but will switch rooms if there’s a room available. R1 stated R1 informed staff of R2 behavior but there was nothing staff can do to that being R2s behavior. R2 reports that her interactions with R1 are rocky as they do not get along, R2 reports that R1 yells at her all the time and would like for R1 to be moved from the shared room. R2 stated that R2 informed staff about R1s behavior and stated that staff did not do anything.

On 7/28/23, LPA interviewed Licensee Seth Bienstock (L1). who denied the above allegations, per L1 residents have reported arguments they have with roommates but never have residents reported any abuse. L1 continued to state that when room changes are an option when a room is available but was unaware that a room change was needed for the residents in question. Per L1, a room change will be discussed with residents #1-2.

On 7/28/23 LPA Villegas attempted to interview R2’s responsible party but there was no answer or call back.

On 8/3/23 LPA Villegas interviewed Staff #1-2 (S1-S2), S1 and S2 denied the above allegation. S1 reported that R1 has a good relationship with staff and steps in too their defense when R2 is yelling or hits staff. S1 reports that when R1 starts to speak about R2’s attitude R2 becomes triggered and starts to name call. S1 states staff has asked R1 not to step in and to let staff handle R2’s behavior, R1 complies. S2 reports that she has not observed any altercations with R1 and R2 but would intervene and separate the residents if it was observed. Per S2, R2’s behavior changes and tends to refuse care.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted to with Administrator Linda Cardenas and a copy of this report was provided .