Complaint Investigation Report

Montecito Manor, Watsonville01/09/2025Licence 445202356

Census54
Date signed01/09/2025 11:43:33 AM
The inspector’s account

LPA Marrufo also interviewed R1. R1 mentioned that he/she hasn’t observed any staff pushing or pinching residents. R1 also mentioned that he/she likes S4. S4 is a very good worker here. S4 is not cruel. There were other seven interviewed. Six out of these seven residents said that they haven’t observed staff causing injury or pushed residents. One resident, R6, had memory issues and was having a hard time keeping on topic during the interview. Four out of four staff that were interviewed all answered that they have not observed any staff causing injury or bruising to residents.

For the allegations of staff left residents in a soiled diaper for a long period of time and staff does not shower the residents, RP reported that the staff member S4, does not change the residents’ diapers and leaves them in a soiled diaper for three hours. RP also reported that S4 does not shower the residents. RP reported that residents are going approximately 5 days to a week in a half without getting a shower. RP added that there is a log for showers for all the residents. R1, R2, R3, R7 & R8 are the ones Licensing should look at for not being showered. When S4 works in Memory Care, S4 hardly showers anyone.

Based on resident interviews, R1 mentioned that they have never left him/her in a diaper for a whole day. They at least change him/her before lunch. R1 also mentioned that he/she got just one shower over seven days ago. Then got one last night (at the time of the interview). R1 said he/she is supposed to be showered at least two times a week.

R1 also mentioned that S4 is the one who does his/her showering. S4 does not drop R1 in the shower. S4 is very good and R1 respects and likes S4. R2 shared that they change him/her once in the morning, before lunch and after lunch. Before dinner and after dinner they also change him/her. R2 also mentioned that he is showered several times a week. R2 asks for showers Mondays, Wednesdays, and Fridays. Other residents who were interviewed said no if they have observed other residents left in soiled diapers and. Some residents are able to take their own showers and would request some assistance from time to time.

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