complaint·April 12, 2022

INVESTIGATION REVEALED THE FOLLOWING: Allegation: Facility staff is not adequately supervising residents in care. The details of the complaint state the facility failed to adequately supervise resident #1 (R1) in care. The complainant claims a staff member's four-year-old child was allowed in the facility on 04/10/22 unsupervised. The complainant claims the child was allowed to push (R1) around in his wheelchair unattended and that staff member (S2) was aware and did nothing to control the situation. An observation assessment of the facilities’ video surveillance footage from 04/10/22, verified the child was allowed to run around the hallways and common areas unaccompanied. The video footage also uncovered the child was in motion pushing (R1’s) wheelchair in the lobby and playing around and handling the medication cart. Several residents were featured in the video footage resident #1-#3 (R1-R3) confirmed a child was present at the facility on 04/10/22 and had seen the child hold (R1’s) wheelchair unattended by staff. (R4) who was also featured in the video declined to be interviewed. Interview with (R1) acknowledged the child had wheeled him around in his wheelchair about 50 feet from the dining room to the lobby unsupervised and unaccompanied. (R1) claims he could control his directions from his sides, however, did not have control from the rear when being pulled back and forth as he was unable to see from behind. Witness #1 (W1) confirmed a child was pushing (R1) around, and that no staff managed to supervise. Interviews with staff #1-#2 (S1-S2) admitted the child was present and had contact with (R1) while he was in his wheelchair. (S1) claims due to unforeseen family circumstances the child was at the facility for a longer stay than she had anticipated and takes full accountability for her actions. (S5) was made aware of the incident and reviewed the video surveillance footage with the Department where it displayed the child was allowed to have access to the common areas unaccompanied or unsupervised by staff. Based on information gathered, interviews, service records, and surveillance video footage reviewed, there is sufficient evidence to corroborate the allegation mentioned above. Based on the Department's observation, interviews, records, and video footage reviewed, the preponderance of evidence standard has been met, therefore the allegation of " Facility staff is not adequately supervising residents in care" is found to be: Substantiated. California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC 9099-D.