complaint·January 18, 2024

On today's visit 1/18/24, LPA Calderon collected staff training for Catheter Care, Physician Orders for C1 catheter placement and Physician notes regarding C1 receiving incontinent care. LPA interviewed C1-C4 , LPA interviewed Officer Manager and Licensing Vocational Nurse from Adept Home Health Care Services, whom provide services to C1. LPA interviewed Administrator, Staff #1 and Staff #2 (S1 and S2), telephone interview attempts with Staff #3 and Staff # 4. (S3 and S4). LPA interviewed (2) Service Coordinator via telephonically from San Gabriel Pomona Regional Center, whom worked and have worked with C1 and residents at the above facility. Based on allegation: Staff inappropriately touching a resident in care. Investigation revealed based on interviews with staff, Administrator, S1 and S2 denied the above allegation and stated residents are not touched inappropriately and are not aware of an incident were resident was touched inappropriately. Administrator, S1 and S2 informed LPA residents are treated with respect. S1 and S2 both stated C1 was assisted with activities of daily living (ADL's) and it was reported that C1 was having issues with catheter. S2 informed LPA S1 was not alone during observations when assisting C1 with ADL's, S2 informed LPA they were present with S1 and C1 was not touched inappropriately when caring for ADL's. S1 informed LPA during interview, C1 was not touched inappropriately when assisting C1 with ADL's and informed LPA to have other staff present and staff were ensuring C1 was being observed to provide C1 with appropriate care based on ADL's. LPA interview with C1 revealed C1 answers were inconsistent and interview cannot corroborate with the above allegation. Interviews with clients C2, C3 and C4 informed LPA that they deny the above allegation and staff do not touch them inappropriately or know of any clients whom were touched inappropriately. Interviews reveled that 4 out of 4 clients interviewed had no concerns with staff / S1 coming into their rooms. Interview with Adept Home Health Care Licensing Vocational Nurse whom treats C1 informed LPA not aware of incident were C1 was touched by staff inappropriately. During interviews with C1's former service coordinator and current service coordinator from San Gabriel Pomona Regional Center, both service coordinators informed LPA there has been no concerns regarding C1 and clients at the above facility being touched inappropriately by staff. Based on record review on Catheter Care training, staff are trained on concerns to inform home health nurse and facility administrator regarding catheter clients. Special Incident Report dated 7/24/23 was reported to Licensing and Regional Center regarding C1 received care by licensed professionals due to catheter issues, facility notified home health care and appropriate parties. (CONTINUATION 9099-C) Based on allegation: Staff not accorded residents dignity in their relationship. Based on interviews conducted with Administrator, S1 and S2, staff denied the above allegation and informed LPA residents are respected and treated with dignity. Interviews with clients 4 out of 4 clients informed LPA facility staff treat them with dignity. C1-C4 were unaware of any clients whom were not treated according to their dignity. C1 stated S1 treats them with dignity and is nice towards them. Former Service Coordinator and current service coordinator from San Gabriel Pomona Regional Center informed LPA there were no reports regarding residents not being treated with dignity and denied the above allegation, interview with Adept Home Health Care Services informed LPA, C1 has not reported staff not treating resident(s) with dignity. Based on the LPA's observation, interviews conducted with client and staff and document reviewed, 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 allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report was provided to Administrator Hector Vargas