Complaint Investigation Report

Regarding the allegation that facility staff do not treat resident with dignity or respect: it was alleged that Staff #1 (S1) treats residents with disrespect. When interviewed, COO who stated that S1 was liked by some residents but unliked by other residents and that S1 no longer works at the facility. When interviewed, S1 stated they have a friendly, respectful, and jovial relationship with residents. One staff stated that S1 had a lot of issues with residents. Out of 12 residents interviewed, four residents corroborated the allegation and identified instances of rudeness, mockery, and ignoring resident inquiries by S1, Staff #2 (S2), Staff #3 (S3), and Staff #4 (S4). The information obtained corroborated the allegation.

Regarding the allegation that facility staff yells at residents in care: it was alleged that S1 yells at residents. When interviewed, COO who stated that S1 was liked by some residents but unliked by other residents and that S1 no longer works at the facility. When interviewed, S1 denied yelling at residents. One staff stated they have observed yelling between residents and staff and that S1 had a lot of issues with residents. Another staff stated that the PM shift has less positive interactions with residents because they are lower staffed. Out of 13 residents interviewed, two residents corroborated that S1 yelled at residents and in at least once instance got into a shouting match with a resident. The information obtained corroborated the allegation.

During the course of the investigation, the Department obtained sufficient evidence to substantiate the allegations mentioned above. The preponderance of evidence standard has been met; therefore, the above allegations are Substantiated. See LIC9099D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations. Civil penalties for repeat violations are being assessed. See LIC421FC. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.