Complaint Investigation Report

Based on interviews and photographic evidence, resident 1 (R1's) bathroom door had been left unrepaired with screws protruding from the door hinges. R1 indicated the door was in disrepair for a month and that it was reported to caregivers multiple times. The facility maintenance system did not reflect this as being reported. R1 stated the caregivers did not report the door problem to maintenance. Once the maintenance director was informed of the issues with the door it was repaired. LPAs observed the door still did not close properly so the door could not be locked. R1 stated this was reported to caregivers multiple times. Therefore, the allegations a resident's room was unsafe and in disrepair is substantiated.

At approximately 11:03 a.m. LPAs observed a soiled diaper on R1's bathroom floor which was left there by R1 prior to showering unassisted. LPA observed the soiled diaper was in the same location at 02:28 p.m. Resident Care Director Brimen Viver indicated R1's caregiver should have removed all trash from the room. Therefore, the allegation that a resident's room was not clean is substantiated.

Pursuant to Title 22 CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D).

Exit interview conducted. A copy of the report and appeal rights were emailed to the administrator.