Complaint Investigation Report

The investigation revealed the following:

Allegation: Facility failed to maintain a complete and accurate resident’s records.

The allegation alleges that the facility has incomplete resident records.

During the facility file review LPA reviewed and received copies of required documents to maintain for Residents. LPA reviewed six (6) Resident files, three (3) out of the six (6) Resident files had the required documents. During file review LPA observed the following documents were missing: Resident R2 was missing the Appraisal, Needs and Service Plan, and Safeguard for Property/Valuables. Resident R3 was missing the Appraisal, Needs and Service Plan, TB test, and Safeguard of Property/Valuables. Resident R4 was missing a Physicians Report and TB test. Interviews with Staff S1 and S2, two out of two stated they do not handle the Residents files, that the Administrator is responsible for making sure they have the required documents.

Based on LPAs observations and record reviews, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California code of Regulation, (Tittle 22, Division 6 & Chapter number8), are being cited on the attached LIC 9099D.

An exit interview was conducted with House Manager, Rickey Bernal, and a copy of this report and the Appeal Rights were provided.