Complaint Investigation Report

It was alleged that Staff #1 (S1) sleeps on the couch in the family room at nights. LPA observed the family room to be free of S1’s belongings and other items that suggest S1 primarily sleeps in the family room. However, three (3) of three (3) resident interviews, S1, and Administrator confirmed that S1 sleeps on the couch during the night shift. S1 temporarily shares a room with a resident but prefers to sleep in the common area instead as it is more central to the other residents. Administrator has obtained approved building permits for a staff room addition which will begin construction in the near future. Administrator stated that a signal system can be installed so that S1 can sleep in the shared bedroom while also having a method to be contacted by other residents for assistance. Based on interviews, the allegation “Staff are sleeping in common areas” is deemed SUBSTANTIATED at this time.

It was further alleged that the fire door in bedroom #4 does not self-close. LPA inspected the door at 11:11AM and observed that the door closer on the top of the door was not attached to the door frame and that the molding and framing on the top of the door was loose and a potential hazard. Administrator confirmed that the door closer was installed around January 2025 and stopped functioning two (2) months after installation. Administrator stated that the door closer and door framing will get fixed during the facility’s renovation and staff room construction, as the current molding cannot support the door closer. Based on observation and interview, the allegation “Staff does not ensure resident's door is in good repair” is deemed SUBSTANTIATED at this time.

The following deficiencies were observed (See LIC 9099-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Administrator was informed that failure to correct the deficiencies may result in civil penalties.

Administrator designated staff Christian Trambulo to sign the report.

Exit interview conducted. Appeal rights and a copy of the report was provided.