Complaint Investigation Report

On the allegation, “Staff refused to assist resident to the bathroom”; it is the concern of the Reporting Party (RP) that on 06/18/24, Resident #1 (R1) needed assistance to go to the bathroom and staff refused to help R1, so the resident called 911 to assist them. It was further reported that Staff 1 (S1) told staff not to assist with R1 because the residents’ bed was too low. Staff interviews confirmed there was an incident where R1 could not be assisted to the restroom. Interview with S1 confirmed that even though they do not recall the exact date, they do recall the incident with R1 and confirmed that staff could not assist R1 to the restroom due to them having a new bed, the bed being too low to fit a Hoyer lift due to the legs being taken off, and the staff not being able to lift R1. S1 further revealed that R1 wanted to be taken to the restroom and S1 told R1 that “they couldn’t help because the Hoyer lift” and that they were happy to change them in bed. Phone Interview with staff 2 (S2) who was present the night of the incident, revealed that even though they did not refused to assist R1 they could not assist R1 to the restroom, there was no Hoyer lift available, and could also not change R1 in bed due to the bed being too low and their back would hurt. Both S1 and S2 revealed that paramedics were called by either R1 or R1’s family member and the paramedics assisted R1 to the restroom. Additionally, S2 revealed that management staff were notified of the incident and they approved for 911 to be called to assist R1. Based on staff interviews, there is sufficient evidence to support the allegation and that a violation occurred; therefore, the above allegation is deemed Substantiated at this time.

Pursuant to Title 22, California Code of Regulations, the following deficiency is cited (refer to LIC 9099-D).

Exit interview conducted, appeal rights discussed, and a copy of this report issued.