complaint·February 12, 2025

Interviews with S1 and S2, revealed that the morning of 12/11/24 was the onset of R1’s diarrhea and a few more loose bowels thereafter. S2 with the help of a hospice worker - W3 repeatedly cleaned R1 by washing off the loose bowels all over R1. S1 and S2 informed LPA that during every cleaning and washing of R1, S2 and W3 constantly checked the water temperature to prevent R1 from getting scalded. In the afternoon R1 was taken to the hospital as ordered by R1's conservator (W2). LPA de la Cerra’s review of the police investigation report dated 12/12/24 by officer (W1) from Glendale Police Department revealed that during the interview between R1 and the officer at the hospital, R1 was alleging that facility staff burned R1 on the back side of their body. The officer (W1) then stated on their police investigation report that five (5) nurses were asked to shift R1’s body to the left side and shift the body to the right side to examine R1 for burns. Officer (W1) noted on the report that all five (5) nurses and officer (W1) did not observe any burns on R1. Futhermore, LPA’s interview with R1’s conservator (W2) revealed that R1 has a history of making false allegations. Therefore, based on interviews, record reviews and observations, this allegation is deemed unsubstantiated at this time. Regarding the allegation: Staff did not provide reasonable accommodation to the resident. To investigate this allegation LPA de la Cerra conducted an initial visit on 12/16/24 and LPA requested pertinent documents relevant to the investigation at 11:00AM, conducted and interviewed resident and facility staff member between 11:15AM – !2:15PM. On 02/12/25, at 12:30PM LPA de la Cerra asked asked for the census, LIC500 and LIC9020 upon arrival. At 12:30PM LPA interviewed additional staff and residents, conducted a physical tour, gathered additional pertinent documents. It was alleged that facility did not accommodate R1 with a bed and oxygen machine. During LPA’s facility tour, LPA checked R1’s room at the facility and observed a bed. S1 also showed LPA some pictures S1 previously took of R1 laying on the assigned bed at the facility. Review of R1’s medical records revealed that there weren't any prescription for a medical oxygen machine. Furthermore, LPA’s interview with two (2) out of four (4) residents stated that the facility always provides reasonable accommodations. LPA’s interview with R1’s conservator (W2) revealed that R1 has a history of making false allegations. Therefore, based on interviews, record reviews and observations, this allegation is deemed unsubstantiated at this time. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report was signed and issued.