Complaint Investigation Report
Five out of five resident interviews indicated that their diapers are changed 2-3 times per day or as needed. Resident #2 (R2) indicated that R2’s diaper is changed sometimes seven times a day. CDSS Staff did not observe the smell of incontinence in the facility.
Regarding the allegation “ Staff left resident in soiled diapers for an extended period of time ," based on interviews and observations, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated.
No deficiencies cited for this allegation.
Regarding the allegation "Staff did not ensure facility was free of pests,” it is being alleged the facility has cockroaches and rodents. Three out of three staff interviews indicated they have not seen any vermin or rodents in the facility. The Administrator and the Licensee indicated that the facility has not received any vermin or rodent complaints. Five out of five resident interviews indicated they have not seen any roaches in the facility. CDSS did not observe evidence of vermin nor pests during the facility tour.
Regarding the allegation “Staff did not ensure facility was free of pests," based on interviews and observations, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated.
No deficiencies cited for this allegation.
Regarding the allegation "Staff did not notice residents change in condition,” it is being alleged staff left Resident #1 (R1) unresponsive for an hour and a half. Interview with Staff #3 (S3) indicated S3 observed R1 being unresponsive. Interview with the Licensee indicated S3 informed Witness #2 (W2) of R1’s change of condition. Continue to LIC9099-C.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction