Complaint Investigation Report

Prior to the visit LPA attempted to contact the San Gabriel Pomona Regional Center. LPA interviewed 4 staff who shall be referred to as S1, S2, S7 and S8. LPA also interviewed a former staff who shall be referred to as W1. LPA received photos of the G-tube dressing for Resident #2.

During today’s visit LPA was informed S1 no longer works at the facility for personal reasons. LPA attempted to interview R3 with S3 as a translator. Unfortunately, LPA could not use interview due to the resident’s medical diagnosis.

The investigation reveals the following: " Staff are inappropriately touching resident”. It is alleged that S1 tickles and aggravates R3. During the visit, the Administrator stated R3 will state if they are bothered by S1. The Administrator further stated they have not heard S1 aggravates R3. 5 out of 8 staff stated they have not seen staff touch the residents inappropriately. 2 out of 8 staff stated that S1 hugs R3 and sometimes R3 like it and sometimes they don’t. 1 out of 8 staff stated R3 do not like S1 to touch their hair. W1 stated R1 annoys S3. 1 out of 1 resident stated staff do not touch them inappropriately nor have they witness staff touching the other residents inappropriately. LPA attempted to interview R3 but could not use their interviews.

The investigation reveals the following: " Staff are not providing a comfortable environment for resident”. It is alleged that the facility is not providing a comfortable environment for the residents. During the visit, the Administrator denied the allegation stating none of the residents complained of being uncomfortable. 8 out of 8 staff stated the residents live in a comfortable Environment. 2 out of 2 residents confirmed they live in a comfortable environment.

The investigation reveals the following: " Staff are sleep during their shift.”. It is alleged that staff sleeps in R2’s bedroom. During the visit, the Administrator denied the allegation stating they have not seen or heard that staff sleep in the resident’s bedrooms. 6 out 8 staff stated they have not seen staff sleep in the resident’s room. 2 out of 8 staff stated R1 was caught sleeping in the resident’s room or they have seen R1’s sleep in the resident’s room. W1 stated they have heard R1 sleeps on R2’s recliner. 1 out of 1 resident confirmed they have never seen staff sleeping during their shift. LPA conducted file review and did not observe disciplinary actions related to staff sleeping during their shift.

there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the

Exit Interview Conducted with Registered Nurse Lillie Escobar/ A Copy of the Report Issued.