complaint·February 11, 2022

that did not know where was going, or that did not want to leave the facility. The medical staff also informed R1 of the medical treatment, and R1 did not inform the medical staff that did not know where was going or that did not want medical treatment. Based on information gathered, LPA did not find sufficient evidence to support allegation "Staff did not transfer resident for medical treatment without permission from resident ” Allegation: Resident threatened by another resident The investigation revealed, per LPA interviews, with (6) staff members, and (14) residents from the Regent Villa Retirement Home, that residents do not threaten other residents in the facility. S1 informed the LPA that has never received a report, from staff, resident or family member that a resident threatened another resident in the facility. S1 informed the LPA that all residents in the facility get along. The LPA interviewed 6 staff members, and 6 of 6 staff members informed the LPA that they have never heard a resident threaten another resident and also 6 of 6 staff members informed the LPA that staff members, residents and family members have not informed them that a resident threatened another resident in the facility. The LPA interviewed 14 residents and 13 of 14 residents informed the LPA that they have never been threatened by another resident in the facility, and also 13 of 14 residents informed the LPA, that they like and get along with the other residents in the facility. Based on information gathered, LPA did not find sufficient evidence to support allegation "Resident threatened by another resident ” Although the allegation 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 Kathy Zepeda, Activity Director, and a copy of a LIC 9099 report was provided. Investigation Revealed Allegation: Facility did not notify responsible party of resident's change in condition The investigation revealed, per LPA interviews, with (6) staff members, and (14) residents from the Regent Villa Retirement Home, that facility resident family members/ responsible party are notified of any changes to a resident’s health condition. S1, informed the LPA that all changes to a resident’s health are documented in their case file. S1 also stated that S2 makes sure that family members are notified and also arranges medical appointments. In addition, S1 and S2 inform family of resident incidents that occur in the facility. There has never been an issue with a resident’s family member not being notified of changes to a resident’s condition. S1 informed the LPA that R1’s POA was notified of change of medical condition as a result of event on 2/6/22. S1 stated that contacted R1’s POA, and informed of R1’s medical treatment. R1’s POA did not inform that there were any concerns with R1’s medical treatment. In addition, the LPA interviewed 6 staff persons and 6 of 6 staff persons, informed the LPA that the facility, always documents, and informs the resident’s family or responsible part of health care condition, or treatment. The LPA also interviewed 14 residents, and 13 of 14 residents informed the LPA that the facility assists them with medical concerns, and inform their family of any medical updates. Based on information gathered, LPA did not find sufficient evidence to support allegation " Facility did not notify responsible party of resident's change in condition ” Allegation: Facility did not release resident's belongings in a timely manner The investigation revealed, per LPA interviews, with (6) staff members, and (14) residents from the Regent Villa Retirement Home, that staff release resident’s belongings in a timely manner. S1 informed R1’s POA, R1’s items were packaged and once the new facility contacted S1, to arrange, the items transport to the new facility. R1’s personal belongings were packaged in several large bags and boxes, and required a van/ truck for transport. The new facility informed S1, that they did not have a vehicle, and if S1 would be able to transport R1’s items to the new facility. S1 informed the LPA, that they also did not have a truck or staff to transport R1’s items, so S1 hired a driver, to transport R1’s items to the new facility. The driver transported R1’s items to the new facility, one week after new facility’s request. S1 informed the LPA, that they are not responsible for the transport of resident’s personal belonging to their new facility, and R1’s POA requested S1 to transport R1’s personal items. Report continued on LIC 9099C Based on information gathered, LPA did not find sufficient evidence to support allegation " Facility did release resident’s belongings in a timely manner ” Allegation: Staff push resident The investigation revealed, per LPA interviews, with (6) staff members, and (14) residents from the Regent Villa Retirement Home, that the staff at the Regent Villa Retirement Home do not push residents. S1 informed the LPA, that has never received a report from staff, residents or family members, that a staff person pushed a facility resident and also has never witnessed a staff person push a resident. Furthermore, S1 stated that a staff person pushing a resident would never be allowed, and that there would be disciplinary actions for the staff person. Also, S1 stated that the staff at the Regent Villa Retirement Home are trained, on how to interact with residents, and also work as a team, if a staff person needs assistance, another staff person comes to assist. The LPA interviewed 6 staff members, and 6 of 6 staff members informed the LPA, that they have never witnessed a staff person push a resident, and also have never received a report from a staff member, resident or family member that a staff person pushed a resident. In addition, the LPA interviewed 14 residents from the Regent Villa Retirement Home, and was informed by 13 of 14 residents, that they have never been pushed by a facility staff person. In addition, 13 of 14 residents, informed the LPA that they like the staff at the facility, and that they feel comfortable being around the facility staff. Based on information gathered, LPA did not find sufficient evidence to support allegation " Staff push resident” Allegation: Staff transfer resident for medical treatment without permission from resident The investigation revealed, per LPA interviews, with (6) staff members, and (14) residents from the Regent Villa Retirement Home, that staff do not transfer residents for medical treatment without the permission from the resident. S1 informed the LPA that the residents at the facility are informed of any and all medical treatments they receive. Furthermore, the facility does not conduct or is involved with medical treatments. All resident medical treatments are conducted by medical staff, and resident family members are involved with the resident’s medical care. On 2/6/22, medical staff informed S1, and S2, that R1 had agreed to medical treatment, and that medical transport will pick up R1 at the facility. S1 stated that contacted R1’s POA, and informed POA that R1 would be receiving medical treatment per R1’s consent. On 2/7/22, S1, S2 and S3 escorted and witnessed R1 board the medical transportation vehicle, and R1 never informed S1, S2 and S3, Report continued on LIC 9099C On 2/3/22, at 3pm, the LPA was informed by S1, that C1’s missing items are not in the facility, and that Regent Villa Retirement Home will reimburse R1 for the cost of the lost items. Based on information gathered, LPA did find sufficient evidence to support allegation "Resident personal items missing ” Based on LPA observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. An exit interview was conducted with Kathy Zepeda, Activity Director and a hard copy of a LIC 9099 and LIC 9099D was provided. Investigation Revealed Allegation: Illegal Eviction The investigation revealed, per LPA interviews, with (6) staff members, and (14) residents from the Regent Villa Retirement Home, that a resident was illegally evicted from the facility. S1 informed the LPA, that on 2/6/22, R1 physically attacked S4, while S4 was distributing coffee in the hallway. S4 refused to pour coffee into R1’s mug. At this time, the facility residents were in COVID quarantine, per Department of Public Health orders, and as a result, all residents were served meals and drinks in their room. As a result of R1’s violent physical behavior towards S4, S1 informed R1’s POA of R1’s incident with S4, and also informed, that R1 could no longer live in the facility. R1 left the facility on 2/7/22, for medical treatment, and did not return to the Regent Villa Retirement Home facility, and R1 is now living in another facility. On 2/4/22 at 2pm, LPA was informed by S1, that contacted R1’s POA, and informed R1’s POA, that R1 could not live in the facility, as a result of 2/6/22 incident with S4. S1 did not give R1’s POA an eviction notice. Based on information gathered, LPA did find sufficient evidence to support allegation " Illegal Eviction ” Allegation: Resident personal items missing The investigation revealed, per LPA interviews, with (6) staff members, and (14) residents from the Regent Villa Retirement Home, that resident’s personal items are missing. S1 informed LPA that R1 does not live in the facility. S1 also stated that S1 made arrangements for R1’s items to be delivered to R1’s new residential location. S1 stated that if there are items missing from the deliver, S1 is not aware, because all items in R1’s room were packed, and safely stored. S1 reviewed R1’s missing item list, and informed the LPA that the items are not in the facility. Furthermore, S1 informed the LPA that Regent Villa Resident Home will reimburse R1 for missing items from room. The LPA interviewed (6) staff members and 6 of 6 staff members informed the LPA that they are not aware of a resident’s missing items from their room. In addition, the LPA interviewed 14 residents, and 13 of 14 residents interviewed informed the LPA that they are not missing items from their resident room. Report continued on LIC 9099C