Complaint Investigation Report

The interviews conducted revealed that 3 of 11 current or former staff members, including the Administrator, stated they had witnessed or had knowledge of a staff member yelling at residents. A former staff member indicated that while she did not have any knowledge of staff yelling at residents, she did believe that some staff had grown accustomed to speaking to residents in a familial manner as opposed to a professional manner and this was discouraged as it could be misconstrued as offensive. A current staff member stated that some staff have loud voices, so they are not able to discern if they were yelling or not. The facility Administrator and an Executive Director confirmed that the staff members that they believe to have yelled at residents have been terminated. It should be noted that multiple staff members indicated that the facility conducts comprehensive training on personal rights and abuse with the most recent training having been conducted in March of 2024.

Based on the interviews conducted the allegation of “staff yelled at residents” is SUBSTANTIATED. A finding of substantiated means that the preponderance of evidence standard has been met.

A deficiency is being cited pursuant to the California Code of Regulations (CCR) Title 22, Division 6. Failure to correct deficiencies may result in the assessment of civil penalties.