Complaint Investigation Report, 01/12/2026 — Residences at Royal Bellingham, the, Valley Village CA

On 01/12/2026, the LPA conducted a subsequent visit and delivered substantiated findings for the above allegation at 9:47AM. At 9:52AM, a physical plant tour was conducted, and no immediate concerns were observed.

During today’s visit, the LPA and AA conducted a physical plant tour at 10:25AM, and no immediate concerns were observed. The following was then amended:

Allegation: “Staff are not providing reasonable accommodations to resident in care”

It was reported that staff did not assist Resident #1 (R1) with obtaining cigarettes or smoking outside and did not accommodate R1’s condition with a reasonable alternative for their call button/pull cord. R1 was diagnosed with incomplete quadriplegia and documented to be bedridden. Individual Service Plan dated 04/17/2025 documented R1’s physical environment to be accessible and safe, with adaptive equipment to aid in their daily activities. This included conducting regular safety assessments, removing potential hazards, and providing necessary mobility aids. It was additionally recommended that the facility coordinate with occupational and physical therapists to assess and implement additional aids that would enhance R1’s comfort and safety.

Staff interview revealed that staff assistance with smoking cigarettes is based upon staff discretion and their openness to exposing themselves to the elements. Two (2) caregivers have reportedly been observed to assist R1 in the late afternoon and evenings with smoking which includes holding the cigarette and bringing it to their mouth. Staff reported that R1’s pull cord was wrapped around their arm due to their condition and that R1 did not express any complaints. Staff stated that R1 would often request for staff to wrap the cord around their arm. They further indicated that there were no other alternatives that did not require R1 to be tethered to the pull cord and if there was, it was not their decision to make. Staff also reported that R1 often changed their minds when they made decisions or when they agreed to allow staff assistance, and that R1 was very demanding about their care.