Complaint Investigation Report

397001473-4-25-2024-27-AS-LKIG-D53R43-20240508124051

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO SOUTH ASC , 9835 GOETHE ROAD, SUITE 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

03/07/2024 and conducted by Evaluator Michael Bilger

COMPLAINT CONTROL NUMBER: 27-AS-20240307125623

Staff made inappropriate comments towards client in care

On 4-25-24 at 1:30pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver findings for the allegation noted above. LPA met with Redentor Magsayo and explained the purpose of the visit. This allegation states that facility staff used the words “fat”, “pig” and “pregnant lady” while directed at a resident during a conversation. During this investigation, LPA conducted interviews with three staff members, two residents in care, and an additional witness. Additionally, LPA reviewed facility file documentation including physician reports and individualized program plans (IPPs) for various residents in care. Based on interviews conducted, it was revealed that staff1 (S1) admitted to previously stating to resident3 (R3) that R3 was “getting too fat”, and stated to R2 that R2 was “hardheaded.” Additional interviews conducted resulted in the consistency of these statements. It was further revealed through interviews that resident's expressed feeling offended by these remarks. As a result, the preponderance of evidence standard has been met and this allegation is SUBSTANTIATED.

Deficiencies are cited and noted on LIC 9099D. An exit interview was conducted with Redentor Magsayo and a copy of this report was provided to Redentor. Appeal rights provided. LIC 811 provided.