Complaint Investigation Report

Based on interviews conducted, five out of five staff, one out of five residents, and one witness denied the allegation. Four out of five residents confirmed the allegation. All staff stated that R1 did not move to another room because of renovations. S2 stated that they met with R1 to discuss a move from their room to a new room because R1 requested a courtyard side room instead of the street side room. S2 also stated that R1 was not diagnosed with dementia, but showed other cognitive decline such as forgetfulness. R1 met with S2 and S4 about moving to a courtyard side room, but would forget the next day about it. S5 stated that R1’s room was not under renovation during the time they were residing at the facility. S5 also verified that R1 had some forgetfulness issues and moved for a courtyard side room instead of a street side room. S2 and S5 stated a notice was not provided for a move because R1 requested a move to another room.

Based on record review, charting notes dated March 11, 2025, state that R1 requested a room change and R1 agreed to move to their new room on March 19, 2025. Charting notes dated March 18, 2025, R1 requested to be moved to a courtyard side room and was moved to Room 228. S2 stated they followed up with R1 on March 18, 2025, to check in on them.

Based on information gathered, there is not sufficient evidence to corroborate the above allegation.

Based on records review, interviews, and observations, LPA did not find sufficient evidence to support the above allegations facility fail to obtain proper building permits for reported construction and resident was moved to another room without proper notice while facility is undergoing construction. 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.

Exit interview was conducted a copy of the report was provided to Administrator Carmen Galicia.