Complaint Investigation Report

Pico de Loro, Perris08/10/2025Licence 336407734

Census38
Date signed08/10/2025 05:20:36 PM
The inspector’s account

Allegation: Staff refused to accept resident back into the facility.

The complaint states that the staff refused to accept Resident #1 (R1) back into the facility. It is reported that (R)1 was hospitalized and ready for discharge, but the facility administrator declined to allow (R1's) return due to the resident's behavior. Additionally, reports indicate that the facility has a history of "patient dumping," which involves refusing to readmit (R1). No further details were provided regarding this situation.

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 support this claim. (S1-S2) stated that (R1) was hospitalized on February 11, 2023, at Global Medical Center for medical evaluation and was kept under assessment. (S1) said to have been in touch with the hospital during (R1's) hospitalization and denied not accepting (R1) back into the facility when available for discharge on February 15, 2023. (S1) stated to have been in contact with (R1's) primary conservator and mentioned that (R1) will need to be reexamined by the neurologist upon (R1's) return to the facility. (S1) stated that (R1's) conservator disapproved of (R1's) neurologist and had disagreements regarding patient care and prescribed medications, which led to (R1) exhibiting malevolent behaviors. Evidence of narrative charting and telecommunication messages between (R1's) family conservator and (S1) will reveal that the facility has not abandoned (R1) and has not evicted (R1) according to (S1). (S1-S2) reported that (R1) was never served with an eviction notice and denied practicing "patient dumping." Furthermore, (S1-S2) emphasized that (R1's) conservator did not notify them regarding (R1's) decision to no longer return to the facility while still receiving care at the hospital. It became apparent that (R1) had been transferred to another assisted living facility selected by the conservator, and (R1's) residency was abruptly terminated without any warning. (S1-S6) all claimed to have completed Personal Rights in Residential Care Facilities for the Elderly (RCFE).

On August 09, 2025, between 10:00 AM and 01:30 PM, the Department interviewed the residents identified as Resident #2 through Resident #7 (R2-R7). Six (6) out of the seven (7) residents were not able to support this claim. (R2-R7) stated that they had no concerns regarding this matter. They expressed appreciation for the treatment they receive from the staff, who are professional and welcoming. All have stated they have not seen residents denied re-entry into the facility after hospitalization.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction