Complaint Investigation Report

Licensee provided LPA with death report of resident (R1) who was receiving hospice services when they passed away on 12/3/24 along with death certificate #5409158 obtained from California Death Registration System indicating that R1’s immediate cause of death was senile degeneration of brain without any other significant condition that could contributed to their death. A finding that the complaint allegation occurs of questionable death is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding the allegation of facility staff does not seek timely medical treatment. Per anonymous complainant and anonymous co-complainant, resident (R2) has a diagnosis of MRSA, R2 is isolated, but proper care is not given by staff (S1 & S2) resulting in R2 getting sick and possible all residents could eventually get sick with MRSA. Based on LPA’s records review, this allegation had been previously investigated and determined unsubstantiated under complaint# 21-AS-20250317162541 due to standards precautions observed at the facility, the incident was self-reported to the Department and staff training records dated 3/28/25 were obtained. A finding that the complaint allegation occurs of facility staff does not seek timely medical treatment is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Another allegation was received by the Department about Licensee does not ensure staff are adequately trained. Per anonymous complainant and anonymous co-complainant, all residents at the care home are at risk due to staff providing care are not adequately trained. According to anonymous parties, Licensee rotates all caregivers to three care homes whenever there will be a state visit. The caregivers don't have day off, working 24 hours, which could lead to inappropriate care. Based on LPA’s records review, the facility provided LIC500 personnel report and training records confirming that all staff associated to the facility do have required training hours as stated per regulations. A finding that the complaint allegation occurs of Licensee does not ensure staff are adequately trained is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.