Complaint Investigation Report

Allegation: Staff not monitoring residents. - Unsubstantiated.

According to complainant, staff is not monitoring residents in care. Resident (R1) and R2 are roommates. R1 and R2 is not compatible. R1 has received constant intimidation, threats, and abuse from R2.

The Department received interview statements from a total of four (4) residents and three (3) staff. Interview statement received from three (3) staff were consistent. S1 indicated, R1 and R2 used to share a bedroom, however, R2 had requested to move to another room. R1 is incontinence and staff would often assist in changing R1 in the middle of the night, which resulted in R2 not getting enough sleep. Interview statement received from R2 indicated, R1 is unable to get enough sleep due to R2 repeatedly calling out for staff. On a daily basis R1 would turn on the lights to get dressed and undress at 2AM. R2 indicated staff would often check on R2 throughout the night. R1 stated R1 and R2 does not have any disagreements. Interview statement received from R1, R2, R3, and R4 indicated, R1 and R2 gets along well with one another. According to staff (S2), staff ratio is being met. There are 2-3 staff scheduled for AM shift and 1 staff working the NOC shift. Rounds are conducted every 30 minutes to check on residents. R3 indicated staff conducts rounds and ask if R3 needs assistance with anything.

The Department received a report of long-term residential treatment system protocol report from the Department of Health Care Services for review. According to report, based on a review of the facility records during the on-site annual program certification review, the facility was found to be in compliance with Title 9, Article 3.5, Section(s) 531 through 533 of the California Code of Regulations. Records of direct service staff staffing hours of January 2023 are consistent with census/staffing ratios as required. On 03/13/2023, the facility is certified to continue providing Long-Term Social Rehabilitation Program Services.

Allegation: Staff failed to assist residents . - Unsubstantiated.

According to R1’s physician’s report, R1 is able to care for all personal needs, can administer and store own medications, bathe self, dress self, feed self, and care for own toilet needs.