complaint·July 16, 2021

INVESTIGATION REVEALED THE FOLLOWING: Allegation: Resident's needs are not being met. Resident left in soiled clothing for a long period of time. It is alleged the staff is not meeting resident #1 (R-1’s) needs and was left in soiled clothing for an extended period. The complainant (W-1) claims (R-1) needs were neglected and were left in soiled clothing for more than 24 hours. An interview with staff #1-#4 (S1-S4) all argues this claim. The administrator (S-1) stated caregiver’s responsibility is to assist the residents with activities of daily living (ADL). Caregivers could be responsible for up to 10 residents at one time. When a caregiver is notified of a diaper or bedding change, the caregiver will address the matter within 30 minutes. Moreover, caregivers are trained to use aided equipment to help maneuver residents who are heavy to clean them. (S-1) claims in the situation with (R-1) who was ambulatory and was medically evaluated as independent when admitted on 01/13/20. (S-1) claims that (R-1) was being assisted by caregivers only as required and when requested by (R-1). (S2-S4) reported there were occasions when (R-1) refused assistance with toileting, diaper changes, or medications when it was readily available. (S2-S4) all verified residents are monitored at least three times during each shift within the eight hours. (S2-S4) further asserted, it would be improbable to have (R-1) in soiled clothing for more than 24 hours by all three work shifts. Interviews with residents #2-#11 (R-2-R-11) all claimed they had no problems with the staff and found them to be attentive and responsive to their care and needs. Residents #12-#14 (R12-R14) had concerns with how infrequently the staff monitor or changed their diapers. However, a review of “Resident ADL 2-Hour Check List ” disputes their statements. Nonetheless, (R2-R14) were all unanimous to state the staff has not left any resident in soiled clothing for 24 hours. Furthermore, (R2-R14) felt their care and supervision are being met and were complimentary of the staff. An interview with witness #3 (W-3) power of attorney to (R-1) claims, (R-1) was at the lowest level of care, which meant the resident can do all her own (ADLs). (W-3) included the staff at this facility did their best. The staff went above and beyond what was expected and that (R-1) was not charged fees for the extra services performed. (W-3) reported that (R-1) had multiple health issues that caused her daily discomfort and found it was more natural to blame others that were willing to help. There were no statements from (R-1) as she was not available for an interview. Evaluation Report continues on LIC 9099-C The Department conducted a review of the Los Angeles County Sheriff’s Department report (W-2) and had determined no victims of elder abuse were found. The Department’s investigation consisted of an inspection of the facility, observation, review of (R-1’s) service records, incident report, ADL Check List Log, Medical Records, along with interviews of staff, residents, and witnesses were conducted and found no evidence to support the allegations mentioned above. Based on information gathered, the Department did not find sufficient evidence to support the allegations: "Resident's needs are not being met", "Resident left in soiled clothing for a long period of time". Although the allegations may have happened or are valid, there is not enough preponderance of evidence to prove the alleged allegations are valid did or did not occur. Therefore, the allegations are " unsubstantiated .” No deficiencies were cited. An exit interview was conducted with Ginger Enriquez, and a hard copy was provided via email.