Senior Care Records.

Complaint Investigation Report

Prospect Manor, South Pasadena08/16/2021Licence 197603952

Census43
Date signed08/16/2021 02:38:28 PM
Name of licensing program analystMary G Flores
Name of licensing program managerRebecca Orendain
The inspector’s account

The investigation revealed the following: Regarding allegation: Facility staff engaged in inappropriate interactions with resident. It is alleged staff has a “Crush on resident” and has bought gifts several times and offered to buy resident a cell phone. Interviews with residents revealed the following 4 out of 5 residents stated staff have not made inappropriate comments or had inappropriate interactions with residents and 1 out of 5 residents stated that staff wants to be involved in resident's affairs. Interviews with staff revealed 5 out of 6 staff stated staff are respectful and have not observed inappropriate behavior's with residents. 1 out of 6 staff stated that facility terminated a staff member due to inappropriate behavior with a resident. Administrator stated that there have not been additional concerns regarding other staff being inappropriate with residents. Based on LPA's, interviews, and file review conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED.

Regarding allegation: Facility staff is financially abusing resident. It is alleged facility billed resident stating that the bill is for medicine, however medications are covered through resident's medical insurance. Interviews with residents revealed 5 out of 5 residents stated facility has not billed residents with additional charges or requested money. Interview with staff revealed 6 out of 6 residents stated not to have heard residents state that they are being financially abuse by facility. Administrator stated some residents receive pharmacy bills as the co-payment for the medication order for residents. On 7/7/21 LPA Flores interviewed pharmacist from Specialist Medical Pharmacy, who stated that residents receive an invoice whenever medication order is not cover by medi-cal/medi-care and a fee must be charge and medication is requested by resident. Invoices are provided to the facility to be given to the residents. Based on LPA's interviews, and file review conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED.

Regarding allegation: Facility staff failed to safe guard resident's personal belongings. It is alleged that in October 2020 someone stole resident's cell phone. Interviews with residents revealed 4 out of 5 residents stated to not have had any items stolen from their rooms and 1 out of 5 residents stated to have had items missing from room. Interviews with staff revealed 6 out 6 staff stated to not have heard any residents say that items have been stolen from their rooms or from a resident. Administrator stated that a resident reported to have lost cellphone in the bus around December 2020.

Based on LPA's interviews, and file review conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED.

Exit interview was conducted with Lydia Pabion administrator and a copy of this report was provided.

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