Complaint Investigation Report

Allegation: Staff do not ensure resident has clean bed linens

It was alleged that staff do not ensure resident has clean bed linens. During the course of this investigation, LPA toured the facility on 11/14/2024 and 11/27/2024. On 11/14/2024 and 11/27/2024, LPA observed that the linen closet had around 4 bedsheets, 4 fitted sheets, and 8 towels. During these visits, LPA also observed that bedrooms 2 and 3 did not have any type of bed linens on the bed. LPA asked facility staff if there were any other linens available for residents in case they needed additional linens due to any accidents or if they needed to be cleaned. Facility staff stated no and those were the only linens available. Based on the information gathered, the facility did not ensure resident has clean bed linens.

Allegation: Staff do not answer the phone

It was alleged that staff do not answer the phone. During the course of this investigation, LPA called the facility phone on 5 separate occasions, on 11/13/2024, 11/14/2024, 11/26/2024, 11/27/2024 and 12/10/2024. On all occasions the LPA was not able to reach anyone while calling the facility phone. In addition, LPA called the Facility Designated Administrator and House Manager several times on 11/14/2024 and 11/18/2024 however was unable to reach them. LPA also conducted interviews from outside parties and found that they too had issues with reaching the facility via telephone. Based on the information gathered, the facility did not ensure staff do not answer the phone.

Based on observations, review of records and information gathered through interviews, the above allegations were SUBSTANIATED meaning that there was a preponderance of evidence to prove that the allegations occurred as alleged.

An immediate civil penalty was provided today in violation of care and supervision 85078(a)(1).

An exit interview was conducted, a copy of the LIC9099, LIC9099-C, 9099-D, and appeals rights was provided to the Facility Designated Administrator at the end of this visit.