Complaint Investigation Report

It was alleged that staff are retaining a resident who requires a higher level of care. The complainant is concerned that facility staff are unable to properly care for Client #1 (C1). A review of C1’s Physician Report dated 12/04/2024 indicates that C1’s primary diagnosis is major depressive disorder, with no secondary diagnosis. Additionally, according to the updated Needs & Service Plan dated 03/07/2025, there is no mention of C1’s recurring incidents or how the facility staff will ensure proper care is provided to C1 during such incidents. Similarly, no records were found in C1’s file indicating a diagnosis of seizures or seizure-like symptoms. Interviews conducted with staff revealed that the facility is aware of C1’s need for a higher level of care due to their medical episodes resulting in facility staff calling medical emergency to ensure C1's safety and proper care. Based on the information obtained and reviewed, the Department has sufficient evidence to say, “staff are retaining a resident who requires a higher level of care”. Therefore, this allegation is being deemed Substantiated at this time.

The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties.

Exit interview conducted. A copy of the report and appeal rights were provided.