Senior Care Records.

Complaint Investigation Report

Lucy's Home, Bonita03/25/2026Licence 374602248

Census2
Date signed03/25/2026 05:52:38 PM
The inspector’s account

C1 reported that these interactions tend to occur when staff appear upset. C1 described at least one instance in which a staff member made a comment perceived as demeaning while C1 was eating. C1 also reported a separate occasion in which a statement was made that caused C1 to feel unwelcome when leaving the facility with a friend; however, no witnesses were present, and C1 was unable to recall the exact date and time of the incident.

C1 stated that they have resided at the facility for many years and expressed that they like living there and do not wish to move. C1 also indicated some concern that staff may want them to leave the facility.

Record review indicates that C1 has resided at the facility since September 10, 2008. Documentation reflects a history of verbal disagreements between C1 and others, as well as identified goals to improve communication skills, reduce verbal conflicts, and utilize appropriate coping strategies.

During interviews, staff acknowledged that, at times, communication with C1 has not been delivered in a respectful or professional manner. Staff reported that reminders regarding hygiene and household responsibilities have occasionally been expressed in a manner that may be perceived as inappropriate or discourteous. Staff stated that their intent was to address concerns related to C1’s health, hygiene, and participation in daily living tasks; however, they recognized the need to maintain respectful and professional communication at all times.

Staff also acknowledged that statements have been made advising C1 of their option to seek alternative placement if they are dissatisfied with the living arrangement.

Based on interviews and record review, there is sufficient evidence to support that staff used language that was not consistent with maintaining the personal rights and dignity of the client.

Therefore, the allegation is substantiated, meaning the preponderance of evidence standard has been met.

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