Senior Care Records.

Complaint Investigation Report

Harbor Terrace Retirement Center of San Pedro, LLC, San Pedro03/07/2025Licence 198200855

Census68
Date signed03/07/2025 12:19:23 PM
The inspector’s account

Allegation #1: Staff did not treat resident with dignity or respect.

Allegation #3: Staff did not offer resident privacy.

The complaint stated that staff did not treat Resident #1 (R1) with dignity or respect and failed to provide privacy. It is reported (R1) felt disrespected when staff ordered them to leave the dining area for to make room for other group of residents. In addition, it was overheard staff saying, “Let’s go. All you need is a whip.” Furthermore, reports indicated that staff often ignored (R1's) privacy by entering (R1's) room without permission while (R1) was in the restroom.

On March 4, 2025, between 9:35 AM and 3:10 PM, the Department interviewed six staff members, identified as Staff #1 through Staff #6, regarding the accusations. Six (6) out of six (6) could not corroborate the claims made against them. They stated that all residents are treated with dignity, respect, and privacy.

All staff members have completed training in Workplace Sensitivity courses, which include topics such as Resident Rights, Working with Individuals with Physical Disabilities, Cultural Competence, and the Basics of Depression in older adults, among others. (S1) explained that there is a seating chart for dining. Resident #1 (R1) is in Group A and is served first, followed by Group B. (S1 and S4) mentioned for breakfast, lunch and dinner residents are given 45 minutes.

There are 20 tables available for residents, of which four are vacant. (S1 and S4) clearly stated that (R1) has never indicated feeling rushed to complete meals during mealtime. If that is true, special arrangements would be made to let (R1) finish meals at an empty table that is not assigned. Moreover, all six staff members emphasized the importance of giving residents space and privacy. All staff members must knock and announce themselves before entering a resident's room, rather than barging in unannounced.

On March 4, 2025, between 10:35 AM and 2:55 PM, the Department interviewed all seven resident members identified as Resident #1 through Resident #7. Six (6) out of the (7) could not valid this claim. The feedback from (R2 to R7) commendably highlights the staff's exemplary qualities of respect, kindness, and graciousness. Their commitment to creating a positive and supportive environment has greatly improved their living conditions.

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