Complaint Investigation Report
In regards to the allegation "Resident fell while in care" it was alleged that R2 fell in the facility resulting in head wound and staff did not assist them. (8) of (8) Staff interviewed denied the allegation. (6) of (6) Residents interviewed could not corroborate the allegation. Interviews do not show that R2 has fallen and needed to shout for help. Staff denied that they would refuse to assist any resident in care. Interviews did show R2 having an unwitnessed fall on 2/2/22 in their room and staff assessed R2 and assisted them back to their bed. No head injuries were noted during file review. R2 did not state they had a fall and needed to scream for help. Interviews with residents state that staff assist residents when they are in need. Based on interviews, file review, and observation; 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, therefore the allegation is unsubstantiated
In regards to the allegation "Resident's sustained injuries while in care" it was alleged that facility staff scratched R1 leaving wounds on their arm. (8) of (8) Staff interviewed denied the allegation. (6) of (6) Residents interviewed could not corroborate the allegation. Interviews with staff deny having scratched R1 while assisted them in and out of bed or when assisting them with their grooming needs. LPA was not provided with proof that any staff had scratched R1. Files reviewed by LPA do not show that staff had scratched R1 as there are no notes documented regarding injuries while assisting resident. Based on interviews, file review, and observation; 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, therefore the allegation is unsubstantiated
In regards to the allegation "Staff are not meeting resident's hygiene needs" it was alleged that R1 was not given showers as needed. (8) of (8) Staff interviewed denied the allegation. (6) of (6) Residents interviewed could not corroborate the allegation. It was alleged that during a covid outbreak in the facility staff was not able to meet R1's showering needs. File review shows the facility had a covid outbreak from December 2021 - End of January 2022. During this time many staff and residents had covid. Staff interviewed stated that scheduling and assisting residents with their needs was still conducted and that R1 did receive the amount of showers as needed each week. R1's Service Plan states that R1 should get 1-5 showers as needed. LPA was not provided proof that R1 was not being showered by staff. File review shows shower notes for R1 being completed 2 times a week. Based on interviews, file review, and observation; 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, therefore the allegation is unsubstantiated
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction