Complaint Investigation Report
it was alleged that staff threatened, yelled at and attempted to hit R1 while calling R1 derogatory names. It was also alleged that staff are rough with R1 when giving a shower, do not clean them properly and staff did not change R1s pillowcase for a month. LPA interviewed 2 of 2 staff and the allegations were all denied. 2 of 2 staff informed LPA that R1 would threaten and hit the staff as well as other residents in care. 2 of 2 staff informed LPA that R1 would call the staff and residents names, as well as make inappropriate comments. 1 of 2 staff informed LPA that incident reports were submitted to the Regional Office when the incidents took place regarding R1s behaviors. 2 of 2 staff informed LPA that the linens were changed for all residents in care at least once a week and changed more often if they were soiled.
LPA interviewed 2 residents in care and 1 of 2 residents informed LPA that staff has never hit them, are not rough when providing care, and they assist with their needs such as showers and dressing. 1 of 2 residents did not confirm or deny the allegation but stated the staff are fine.
Regarding the facility allegation of staff not keeping resident’s room free from odor revealed the following: it was alleged that R1 would use the commode in their room and staff would not empty it causing an odor. 2 of 2 staff informed LPA that the commode would be emptied and cleaned every time it was used. 2 of 2 staff informed LPA that sometimes R1 would be asked to wait until staff are done assisting another resident and R1 would become agitated that they did not come immediately.
LPA did not smell an odor during the investigation in the facility.
Regarding the facility allegation of staff left resident on the floor for a long period of time and staff did not assist resident in a timely manner revealed the following: it was alleged that R1 was left on the floor by staff for 8 hours. 2 of 2 staff informed LPA that they would never have left R1 on the floor for any length of time and was assisted immediately if they were observed on the ground or called for help. 1 of 2 residents informed LPA that the staff assist them with all their care needs.
LPA did not review any incident reports regarding R1 being found on the floor by staff.
Regarding the facility allegation of staff did not provide resident with a copy of the admission agreement revealed the following: LPA reviewed an admission agreement for R1 dated August 9, 2022, that was signed by R1 and facility staff. 1 of 2 staff informed LPA that they could not recall if they provided R1 with the admission agreement at the time of their admission, but provided the agreement when R1 requested a copy at a later time.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction