Senior Care Records.

Complaint Investigation Report

People's Care Goodenough, Fillmore12/16/2022Licence 565802410

Census6
Date signed12/16/2022 12:48:50 PM
The inspector’s account

C1 continues, at one point during this fight with S1, S1 kicked and stepped on me. C1 added, no other staff witnessed the incident. C1 added, the next day, C1 went to the hospital for a scheduled mammogram. C1 stated that the hospital could not find anything wrong. C1 added that the marks and bruises left from the S1 were not visible anymore the following day. C1 added that they have a hard time sleeping and because C1 is loud, staff don’t want C1 to wake up all the roommates at the home. Staff is always asking C1 to go to their room at nighttime. C1 added that they can come out of their room if they can be quiet and courteous towards the roommates. C1 added there are times that I get upset hit staff, throw items, and yell at staff.

Later that same day, LPA Ascencio reviewed the medical files for C1 starting at 11:30 a.m. Review of files revealed that C1’s diagnosis is psychotic disorder, depressive disorder, mild intellectual disability, paranoid schizophrenia, psychosis, dysmenorrhea, seborrhea and general pain. C1 medical file also includes past history of physical aggression, verbal threats towards staff and peers, verbal aggression and unsafe behaviors. C1 moved to People’s Care Goodenough on 08/01/2022 and resides in the Crisis Intervention Unit. Interview with S2, on 12/16/2022, starting at 11:49 a.m. revealed that they work with S1 at night most of the week. S2 stated they get called by S1 all the time to the Crisis Intervention area because C1 has ongoing having behavior issues specifically during nighttime. S2 stated that C1 like to crawl on the floor and provoking staff members seeking attention. When C1 does not get what they want, C1 begins to yell profanity towards staff, at times tries to get physical with staff. S2 added that C1’s behavior issues happen almost every night and S1 is always professional. S2 lastly added they have not witnessed S1 get physical, or verbal with C1 when C1 is having behavior issues.

Later that same day, interview with S1 starting at 12:12 p.m. revealed that every night is a challenging behavior night with C1. S1 stated they don’t remember the exact date because C1 has behaviors of similar sorts daily. S1 stated that behaviors range from hitting, kicking, slapping, name calling when C1 does not get what they want. S1 says that C1 ask to go outside and S1 lets them. C1 asks for a cigarette or tea, and at first S1 stated they were providing it, but C1 starts to throw the items towards staff. S1 added that C1 throws themselves to the ground, start to pull their own hair, hit themselves in the arm, head and stomach area. S1 stated that throughout the behavior C1 exhibits, S1 has always stayed professional and has not engage C1 in any verbal or physical altercations.

Based on evidence gathered during the course of this investigation, the allegation of facility staff isolates residents, and Personal rights violation is deemed unsubstantiated at this time.

Exit interview conducted and a copy of the report provided to Administrator via email.

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