Complaint Investigation Report

Facility is not meeting toileting needs of a client while attending program.

During the interview with client R1, R1 reported staff told me to go in my brief. R1 stated the staff said to me, come on you know better, not to buckle my legs. R1 reported I had back surgery, when I buckle my legs it’s because my legs go numb. R1 stated, I prefer to go on the toilet.

During the interview process staff stated sometimes we have been putting her on the bed to relieve herself because she has been dropping. Staff stated that when we lift her off the toilet, she will pull her legs up. Staff reported R1 said she is uncomfortable going to the bathroom afraid she will fall. Staff stated we use a sling to get her onto the bed to change her and at the toilet we use a two-person assist.

During document review the client’s ISP states the client requires full assistance in this area. During document review staff reported the client goes on the bed in her brief and not on the toilet right now, because she keeps dropping. Document review revealed that the client is prone to UTI’s and using the toilet is preferred.

R1s Individual Program Plan states it is important that she is as independent as possible with her personal care.

Based on investigation observations, record review(s) and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . California Code of Regulations, (Title 22), is cited on the attached LIC 9099D. Appeal rights were explained and provided to the facility representative listed above and exit interview conducted. If any of the cited deficiencies are not corrected by the noted due date, civil penalties may be assessed.