Complaint Investigation Report

Allegation #3: Staff are barricading the residents while in care.

The complaint alleges that the staff at the facility barricaded Resident #1 (R1) while in care. It is reported that (R1) is unable to leave the facility, as the doors are secured with chains. No additional details were provided regarding this situation.

On August 09, 2025, between 10:00 AM and 01:30 PM, the Department interviewed the residents identified as Resident #1 through Resident #7 (R1-R7). Seven (7) out of the seven (7) residents were not able to corroborate this claim. (R2-R7) asserted that the facility's doors are not secured with chains, which restricts their ability to leave the premises. Furthermore, no residents are prohibited from leaving the facility.

(R1) firmly stated that this claim is invalid. (R1) confirmed (R1's) independence and said that (R1) can leave the facility unattended. (R1) expressed the ability to be independent and continued to drive a vehicle without any restrictions on leaving the premises.

On August 09, 2025, between 09:00 AM and 03:30 PM, the Department interviewed the staff identified as Staff #1 through Staff #6 (S1-S6). Six (6) out of the six (6) staff members were not able to validate this claim. (S1-S6) stated (R1) is independent and can leave the facility no assistance. According to (S1-S3), (R1) enjoys the liberty of exploring various rooms within the premises freely. The environment is open and accessible, there are no locked chains on the doors that would serve as barriers. (R1) has the freedom to leave the facility with no assistance at any time without any restrictions.

As a result of review of Resident #1 (R1's) Physicians Report LIC 624A (dated 09/19/24 & 01/05/23) revealed the (R1) is able to leave the facility unassisted. A review of In Service/Meeting (dated 06/08/25) revealed all staff members have completed training on Personal Rights of Residents in Residential Care Facilities for the Elderly.

During the visit on August 9, 2025, the Department observed that the facility actively promotes the rights of its residents. The facility had posters detailing Resident Rights, Personal Rights, and the California Residential Care Facilities for the Elderly Complaint Poster prominently displayed throughout the premises. An inspection of the premises and (R1’s) room on August 10, 2025 and November 13, 2025 revealed no restricted chains on any doors.