Complaint Investigation Report

On 09/03/2021, AD admitted to only having the following staff: AD works as Caregiver/MedTech, has 1 MedTech/Caregiver, 1 Housekeeper, and 1 Kitchen staff for the 74 clients. AD also admitted to having no Activity Director, therefore there are no activities scheduled and stated Abdol Arastoo helps at the facility as her On-call/Assistant.

On 11/02/2021 and 11/04/2021, LPA observed, and AD admitted being the only Caregiver/MedTech for the 75 clients. She stated she hired an Activity Director who left out of town days after starting and she does not believe he is returning. As of 11/02/2021 there is no Cook and Assistant Administrator Abdol Arastoo was observed making lunch for the clients. AD Marjan stated her Assistant Abdol is making the meals with her help until they can hire a new Cook. There are 2 House Keepers who work Monday thru Friday. There are no Housekeepers on weekends. There is 1 MedTech and 1 Night Supervisor according to interviews with several residents. AD Marjan and Adbol stated they have tried to hire staff but have had no luck.

Facility is in disrepair. Client rooms are dirty, beds are physically falling apart with dirty linens. Clients are smoking in their room (LPA’s observed on 11/02/2021). Call system is non-operational, Common restrooms have no toilet paper, paper towels and no hand soap. Client files are disorganized.

Based on the investigation, the preponderance of evidence standard has been met, therefore allegation that the facility is understaffed is found to be Substantiated. Violation is being cited per California Code of Regulations, (Title 22, Division 6, Chapter 8), on the attached LIC 9099D.

An exit interview was conducted with AD Marjan, copy of this report and Appeal Rights will be emailed.