complaint·May 27, 2022

Investigation Revealed Allegation: Resident sustained burns while in care The Department of Social Service Investigative Bureau, Investigator Edward Hector, conducted interviews with R1, facility staff members, and also reviewed R1’s facility and medical documents. On 2/26/22, R1, Gardena Residential Center facility resident, suffered severe accidental burns, as a result of getting into a bathtub, with hot water temperature. R1, informed Investigator Hector, that R1 did not feel the temperature of the hot water due to R1’s medical condition. Also, Investigator Hector interviewed Gardena Residential Center facility staff, and they confirmed that R1 is independent, and does not use assistance to bathe self. In addition, Investigator Hector interviews, and record review confirmed that R1 does not use facility staff assistance to bathe self, and does not request staff services for assistance. R1 informed Investigator Hector that takes full responsibility for self-injury. Based on interviews and facility documents, R1 is independent and does not request services for bathing. Per Title 22, Division 6, Chapter 8, Article 8 CCR 87468.1(a)(16) Personal Rights of Residents in All Facilities, states: “Residents in all residential care facilities for the elderly shall have all of the following personal rights: (16) To receive or reject medical care or other services .“ Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted with Susana Fuentes, Administrator, and a hard copy of a LIC 9099 was provided.