Complaint Investigation Report

On 11/9/2023 LPA, Monter interviewed R1 and stated that a facility staff (S1) gave him/her a massage by the hallway because of a sprained neck and was very rough. R1 stated he/she does not remember when the massage took place. R1 stated S2 and S3 witnessed S1 give him/her a massage R1 stated he/she complained and reported S1 to the former executive director (ED) and S1 retaliated against him/her by cutting his/her hair while in a deep sleep.

Staff cut resident's hair without consent.

On 11/09/2023 LPA Monter interviewed staff 3 (S3). S3 stated he/she did not see R1s hair was cut. S3 stated R1 sees people who are not there.

On 11/09/2023 LPA Monter interviewed staff 4 (S4), S4 stated R1 is very confused and would say someone is chasing him/her and trying to hurt him/her.

On 4/27/2024 LPA Partoza, continued with the investigation and interviewed former Executive Director (ED) by phone. Former ED stated staff do not carry scissors and does not go in the resident's room without knocking first and getting a consent to come in. ED stated that R1 experience confusion and hallucination. R1 is diagnosed with alopecia that causes hair loss. Former ED stated, the next day (10/20/2023) he/she visited R1 and asked R1 if he/she recognized the staff that cut his/her hair, R1 stated to ED that he/she does not know what former ED is talking about.

On 5/18/2024 LPA Partoza interviewed staff 2 (S2) by phone. S2 stated that on 10/19/2023, after 10:00 p.m. R1 called S2 to report that a staff, while in deep sleep cut R1s hair. R1 indicated to S2 that S1 was the one who cut his/her hair. S2 stated he/she did not see any cut hair on the floor or the bed, S2 stated that R1 has medication for his/her head/hair irritation.

On 8/28/2024 LPA Partoza, interviewed staff 1(S1) by phone and stated that he/she does not go inside a resident room without permission. S1 stated as staff he/she is not allowed to carry scissors and no scissors are allowed inside the resident's apartment.