complaint·July 28, 2022

Allegation: "Facility is not providing safe accommodations for resident(s) in care." It is alleged that on Friday, July 22, 2022 a transient woman entered the facility at approximately 9:00 pm and entered resident (R1's) room and grabbed R1's ankle. A verbal altercation ensued and the transient woman left the facility. At approximately 9:16 PM, Pasadena Police responded to the incident, but did not find the transient woman in the premises. It is suspected the transient woman entered through the rear door that residents leave unlocked at night, so they can smoke outside. According to resident interviews, the transient woman that entered the facility on 7/22/2022 frequently enters the building during evening/night time hours and juggles the resident room door to see if they are unlocked. If unlocked, the woman enters the room and steals items i.e. TV's, cell phones, blankets, and any other personal items. The woman has been observed entering the kitchen area and grabbing food. An additional incident occurred on Sunday, July 24, 2022, in which it is suspected the transient woman entered the facility again and stole resident (R8's) cell phone and a police report was filed. A total of eight (8) residents were interviewed, all confirmed the transient woman enters the facility regularly during night shift hours. Four (4) out of eight (8) residents stated they have seen the woman take and exit the building with resident's personal belongings. All staff interviewed confirmed the transient woman has history of entering the building through the side and rear doors. Staff stated that the side and rear doors are not operating properly and must be pulled shut in order for the doors to close properly. As a result, when the doors are opened they do not close completely and they are not securely closed; which allows residents outdoors, and anyone else to enter the facility. The residents at the facility are mentally disabled and smoke outdoors at all times of the day; including night time hours. Staff (S4) was on duty during the 7/22/2022 incident. Pasadena Police were called and responded to the incident. The incident was documented on the log book. As of today, the facility had not faxed the 7/22/2022 incident report to CCL. The physical plant inspection confirmed the side and rear doors do not close properly. Photos were taken of the exit doors. It is probable the transient woman is regularly entering the facility through the side and rear doors. Therefore, residents in care are not being provide safe accommodations. Based on interviews conducted and observations, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. Deficiency is cited. See LIC 9099D. Exit interview was conducted with Med-Aide Naylet Velasquez. A copy of the report and appeal rights were provided.