complaint·November 9, 2022

Continued LIC9099-C page 2 Allegation: Staff are retaining a resident that requires a higher level of care Staff 1-3 (S1-S3) stated residents are provided with a comfortable environment. Residents 1-7 (R1-R7) state staff is providing residents with a comfortable environment. R1-R7 stated that they do not have any issues, problems, or concerns regarding the care and supervision being provided to them by the staff. S1-S3 stated the facility staff does not retain a resident that requires a higher level of care. Investigation revealed the following: I nterviews were conducted with staff 1-3 (S1-S3), and residents 1-7 (R1-R7), stated residents are provided residents with a safe, healthful, and comfortable environment. S1-S3 stated staff is trained and competent to do their jobs. S1-S3 stated R1 doctor placed R1 at this facility. R1 is on hospice. R1's doctor and nurse come to the facility once a week or as often as needed to assist R1. S1-S3 stated R1 has a history of falls and is a fall risk before she came to Gardena Retirement Center and it is documented. S1-S3 stated R1 had one fall since she was admitted. R1 slipped off her wheelchair, and the facility staff could not have prevented R1 from falling. S1-S3 stated the facility reported a special incident report to Community Care Licensing and all the appropriate agencies in a timely manner regarding the fall prior to the complaint allegation. S1-S3 stated none of the residents living here requires a higher level of care. S1-S3 stated residents in placement are compatible. R1-R7 states they are happy at the facility, and the staff is providing the necessary care and supervision needed to meet resident care needs. S1-S3 stated the allegation is false. S1-S3 and R1-R7 all denied the allegation. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. A copy of the Complaint Investigation Report LIC9099, LIC9099-C, and Confidential Names LIC811 was provided to the facility Administrator Susan Fuentes. There were no deficiencies cited. An exit interview was conducted.