complaint·April 11, 2025

Allegation #1: Staff do not respond to residents' requests for assistance in a timely manner. It is being alleged that staff take hours and hours to respond to the call light after residents request assistance, which is concerning because someday a resident could be on the floor with their head cracked open or something. On 03/13/25, between 11:00 am to 1:00 pm, LPA Richard interviewed seven (7) residents (R1- R7). 6 out of 7 denied the allegation and stated that most of us are independent, the staff always tried to assist when we pushed the call button or when we outside in the ground and need assistance. On 03/13/25, between 2:00 pm to 3:00 pm LPA interviewed seven (7) staff (S1-S7), 7 out of 7 denied the allegation and stated that the facility has a call light system, when a resident presses the call light anyone available would go and assisted the resident, we don’t choose who to assist or not to assist. This is our job to make sure all the residents who need assistance get to be assisted. On 04/11/25, at 10:40 am, LPA inspected two residents' bedrooms, # 233, and # 238, LPA pressed the call light and found the facility staff answered the call light in less than 2 minutes. Based on the interviews, observation, and record reviews, 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 Unsubstantiated. Continued LIC9099C Allegation #2: Staff member did not accord dignity to resident in care. It is being alleged that staff refused to listen to the resident and slammed the facility door closed. On 03/13/25 between 11:00 pm to 1:00 pm, LPA interviewed seven (7) residents (R1- R7). 5 out of 7 residents denied the allegation and stated that staff treated them with respect and dignity. They also stated that the residents need to treat the staff how they want to be treated themselves. R3 stated that the residents sometimes yelled and cursed at the staff. They also stated the facility gives them quality care and expressed their satisfaction living here. On 03/13/25, between 2:00 pm to 3:00 pm, LPA interviewed seven (7) staff (S1- S7). 7 out of 7 denied the allegation and stated they tried their best to treat all residents with dignity and respect, especially since we know this is their home. Based on the interviews and observation, there was not enough 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 Unsubstantiated. Allegation #3: Staff do not report incidents involving residents as necessary. It is being alleged that there have been four different physical fights/altercations between residents and residents, but the facility doesn’t report these incidents to the Licensing Department. Continued LIC9099C On 03/13/25, LPA reviewed and obtained one (1) month of the Unusual Incident Report (dated 02/02/25 to 03/05/25), which indicated that the facility did report the fight to the Licensing Department, APS, and the Ombudsmen, and the Long Beach Police Department (LBPD) was called on 03/01/25. On 03/13/25, between 11:00 am to 1:00 pm, LPA interviewed seven (7) residents (R1- R7). 6 out of 7 denied the allegation and stated that the police usually come to the facility after a resident fight. LPA interviewed R3, who stated that the staff did call 911 when was insulted by another resident, and the police came, and R3 is pressing charges against the other resident for battery and R3 is going to court. On 03/13/25, between 2:00 pm to 3:00 pm, LPA interviewed seven (7) staff (S1- S7). All denied the allegation and stated that the facility would call the LBPD if the fights were serious and fill out the Unusual Incident/Injury Report to Licensing and APS/Ombudsman and send it out. LPA interviewed S1, who stated that when an incident happened at the facility, they would immediately report the incident to the right agency whether any injury occurred. Based on the interviews and record reviews, there was not enough 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 Unsubstantiated. No deficiencies were cited. Exit interview conducted. A copy of this report was provided to the Administrator Esperanza Naaktgeboren.