Complaint Investigation Report

the wheels of R1’s wheelchair to prevent R1 from being able to move around in the wheelchair. S1 admitted to LPA that they tied the straps on R1 after being given instructions to do so from Staff S2. LPA requested S1 to demonstrate how they tied the wheelchair to the couch, S1 then demonstrated how they tied the wheelchair to the couch. LPA took pictures of the red and white straps and took pictures of the wheelchair demonstration. Based on the evidence gathered, LPA found that the staff restrained the resident to the couch.

For allegation, Staff are unable to adequately communicate with residents due to language barrier:

Upon entry into the facility, LPA asked S1 how many staff were working in the facility. S1 proceeded to bring LPA a document that had R2’s name on it. S1 did not understand LPA’s question and LPA was asked if they spoke Spanish. As LPA was speaking to S1, LPA observed S1 open their cellphone and S1 started typing in a translator application to answer LPA’s questions. During interviews conducted today, LPA found that the residents in care are having a hard time communicating with the staff due to language barriers. Based on the evidence gathered, LPA found that the staff at the facility are not able to adequately communicate to ensure the safety of the residents in care.

Based on the evidence gathered during today’s investigation, the allegations listed above are deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegations are valid because the preponderance of the evidence the standard has been met.

During today’s visit, two (2) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report (LIC9099) was discussed and provided to Caregiver Sonia Guevara, along with a copy of LIC9099D, and a copy of the appeal rights.