Complaint Investigation Report

The Licensee and S1 both confirmed that R1 regularly needs to have a change of clothing available as a result of a medical condition. The IPP for R1 states that R1 is working to increase personal care skills and complete tasks independently however the care home will provide assistance as needed. Based on the interviews conducted there is no dispute R1 was provided soiled clothing at Day Program therefore the allegation of " facility failed to provide level of care" is SUBSTANTIATED. A finding of substantiated means that the preponderance of evidence standard has been met.

Facility failed to provide lunch for resident:

LPA Jensen interviewed the Licensee and S1. Both the Licensee and S1 confirmed that there was an occasion wherein R1 was sent to Day Program without lunch. The day Based on the interviews conducted there is no dispute that R1 was sent to Day Program without lunch on at least once occasion therefore the allegation of "facility failed to provide lunch for resident is SUBSTANTIATED. A finding of substantiated means that the preponderance of evidence standard has been met.

In the days following the incident wherein R1 was sent to Day Program without a lunch and was brought soiled clothing by staff, the facility has implemented measures to prevent these issues from reoccurring. The facility has created a check list that staff uses that includes verifying residents have brought lunch with them to program and that R1 also brings extra sets of clothing that have been verified to be clean.

Deficiencies are being cited pursuant to the California Code of Regulations (CCR) Title 22, Division 6.

An exit interview was conducted and a copy of this report, a confidential names list and appeal rights were provided.