Complaint Investigation Report

The facility does not have records of correspondence with Phillips regarding the frequency of the incidents are the calls to them to reset the system. However, the facility has requested time to get this information by next week 4/25/2025.

The facility continued to have issues with the system triggering each time the alarm was triggered the staff would have to put a code in to stop the system. This continued until 10/23/2024 when the system was repaired. Although the facility is not in disrepair the facility did have a broken system that when triggered provide resident in care with and without hearing impairments a very uncomfortable environment.

Allegation: Licensee does not ensure that residents are provided a comfortable environment while in care. Based on the review of records the facility provides care to residents with cognitive impairment as well as hearing impairment. The use of auditory alarms that alert staff to residents attempting to leave is what the facility chooses to use, however, based on the repair and auditory frequency of the alarm going off the residents in care with or without hearing impairments were subjected to the noise and as a result were exposed to a uncomfortable environment.

The department concluded the initial investigation and the preponderance of evidence standard was 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-9099D. Failure to correct the deficiency may result in civil penalties. Appeal rights were provided. An exit interview was conducted.