Complaint Investigation Report

Regarding the allegation, "Facility failed to ensure resident's furniture/fixtures were in good repair," the following was alleged: lamp shades in consumers bedrooms are either burnt or broken; lamp stands do not have hooks for proper lamp shade installation; Client Two's (C2’s) night stand is missing knobs/handles; C2's headboard is not properly secured, two (2) dresser drawers do not close properly and the only light in the room flickers; Client Three's (C3's) room has poor lighting, an electrical outlet that does not work, dresser knobs that are not properly secured, broken blinds and a burned lamp shade; Client Four's (C4's) window is in need of blinds and their lamp has a broken lamp shade. During the facility tour, the following was observed : lamp shade in C1's room was observed to be torn all around the top of the cover, C3's night stand had missing handles, one (1) of C2's dresser drawers would not close completely, one (1), wall light was observed to flicker continuously, broken blinds in C3's bedroom. Therefore, based on observation, this allegation is deemed SUBSTANTIATED.

Pertaining to the allegation, "Facility is operating outside the scope of their license," it was alleged C4, who utilizes a walker to ambulate, is not appropriate to reside in the home due to it having only an Ambulatory fire clearance. On January 29, 2020, no medical assessment was available to identify the client's ambulatory status. Interviews revealed C1 does utilize a walker to ambulate, and the assistive device is not used as a preference. Therefore, based on interviews, this allegation is deemed SUBSTANTIATED.

A finding the complaint is substantiated means the allegation is valid because the preponderance of the evidence standard has been met. Citations will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 6).

An exit interview was conducted with Martin; this report was reviewed, and a copy provided along with LIC 811 and Appeal Rights.