Senior Care Records.

Complaint Investigation Report

Excelsior Healthcare Center, San Jose05/21/2024Licence 435202758

Census5
Date signed05/22/2024 08:03:54 AM
The inspector’s account

On 08/19/2022, the Department received a complaint with the allegation that the facility staff took resident's personal property. It has been alleged facility staff took a resident's cell phone.

On 08/24/2022, LPA interviewed Administrator (ADM). ADM stated residents can use the facility phone and can use their cell phone without restriction. ADM stated only resident R1 has cell phone.

ADM stated on 8/16/2022, resident R1 stated his/her cell phone was not working. ADM stated R1 gave his/her cell phone to ADM to figure out why. ADM stated he/she charged R1's cell phone overnight. ADM stated he/she returned R1's cell phone on 8/17/2022 around 8:00AM - 8:30PM to R1. ADM stated on 8/18/2022, R1 told him/her that R1 was unable to find R1's cell phone. ADM stated on 8/18/2022, he/she found R1's cell phone on R1's bed.

LPA interviewed resident R1. R1 stated the facility ADM took his/her cell phone for 3 days in the middle of August 2022. R1 stated after that 3 days, he/she can use the cell phone. R1 stated he/she can use the facility phone.

LPA interviewed 4 residents. 4 out of 4 stated facility did not take their personal property. 4 out 4 residents stated they did not know facility staff take resident's cell phone.

LPA interviewed 2 staff. 2 out 2 staff stated the residents can use the facility phone and cell phone without restriction. Both stated only R1 has cell phone.

A review of R1's physician report dated 6/5/2020, R1 has mild cognitive impairment, visual impairment, confusion,.and becoming forgetful. A review of R1's Appraisal Needs and Service Plan dated 03/09/2022, R1 is forgetting where his/her things, and forgetful and confused.

Based on interviews and records reviewed, no evidence to indicate that the facility staff took R1's cell phone.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction