Complaint Investigation Report

(R7-R11). LPA attempted to interview R11, however, R11 is no longer a resident of the facility as of 05/03/2023.

Allegations: Staff verbally abused resident while in care. Staff failed to treat resident with dignity and respect.

It was reported that S1 verbally abused R11 by screaming at resident and telling resident to “Shut up”. A recording of incident was provided to Executive Director Michael Forsgern and S1 was terminated. During interview with Executive Director Michael Forsgern it was stated that the reason for S1 being terminated was because of this incident. During interviews with R1-R12, 10 out of 12 residents stated that they have never been verbally abused by staff, have not witnessed this with other residents and feel they are treated with dignity and respect. Residents also stated that they are able to use their own linens and blankets with no issues, 4 of the 5 residents interviewed today state they use their own linens.

Based on LPAs observations, interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.