Senior Care Records.

Complaint Investigation Report

Vila Victoria #1, San Jose09/27/2024Licence 435202473

Census18
Date signed09/27/2024 04:42:59 PM
The inspector’s account

4 out of 11 interviewed residents stated that the staff assist residents with toileting needs. 3 out of 11 interviewed residents stated to not know if staff assist residents with their toileting needs. 4 out of 11 interviewed residents stated that no residents at the facility need assistance with toileting.

2 out of 2 interviewed staff and ADM stated that no residents need assistance with toileting.

R1’s Physician’s Report states R1 can care for R1’s own toileting needs.

2 out of 2 staff and ADM stated R1 did not need assistance with toileting prior to R1’s foot amputation at the hospital.

11 out of 11 interviewed residents stated that the staff provide the right dose of medications. 2 out of 2 interviewed staff and ADM stated that staff provide the right dose of medications.

During interview on 05/17/2024, ADM stated that R1 was not given an eviction notice. ADM stated R1 was sent to the hospital to have a foot amputated. ADM stated that when paramedics brought R1 back to the facility, ADM told the paramedics that the facility is for fully ambulatory residents only. ADM stated to have told the paramedics that ADM has another licensed facility that is non-ambulatory and that R1’s parent is aware about the difference in ambulatory status between both facilities. ADM stated R1 was sent back to the hospital from the facility the same day paramedics returned R1. ADM stated that R1 is still at a skilled nursing facility and a bed is still being held for R1 at the facility.

LPA obtained copies of payments made by R1’s parent to the facility for the months of 03/2024-05/2024. LPA obtained a copy of the facility license, which states the facility is for “All Ambulatory.” LPA Marrufo made one attempted telephone call to R1’s family member on 09/26/2024 at 3:00 PM and two additional attempted telephone calls on 09/27/2024 at 11:13 AM and 2:01 PM. LPA made an attempted telephone call to R1’s Responsible Person on 09/24/2024 and 09/27/2024, but the telephone number was disconnected. Based on information from interviews conducted with staff, and records reviewed, although the allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. No Deficiencies cited under California Code of Regulations Title 22. This report was reviewed with Administrator Cyril Inneh and a copy of this report was provided. Page 2 of 2.

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