Complaint Investigation Report

responsible party failed to adhere to COVID visitation protocols on several occasions even after repeated reminders. As a result, R1 was prohibited from physical in person visits from their responsible party. Interview with R1's responsible party revealed they were aware of the COVID visitation protocols but they did not care and did what they wanted anyway.

Regarding the allegation "Staff denied a resident access to medical appointment", it was alleged that ED Woofter did not permit R1 to attend a scheduled medical appointment accompanied by their family. Interview with ED Woofter confirmed the incident did occur as alleged. ED Woofter contended that R1's family were not medical professionals and therefore may not ensure proper COVID protocols would be implemented. As a result, ED Woofter did not permit R1 to leave the facility for the appointment and canceled the appointment.

Regarding the allegation "Staff did not properly supervise a resident while in care", it was alleged that on an unknown date, staff failed to complete a bed count which resulted in R1 being left outside overnight. Interview with ED Woofter indicated this incident had not occurred. However, a review of incident reports pertaining to R1 revealed on 2/28/2020, the supervision of R1 had been unverified. The incident report indicated Staff #1 (S1) was on duty at the time of the unverified supervision. S1's employed at the facility ceased in March 2020.

Based on LPA’s interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099 D. An exit interview was conducted and a copy of this report was provided along with Appeal Rights and LIC811- Confidential Names list.