complaint·May 13, 2022

Allegation: Staff verbally abusing residents. The facility had been using supplemental agency staff since May of 2021. The department interviewed several residents and staff members regarding the interactions of the agency staff. Of those interviewed, one single individual (R1) had noticed verbal abuse from an agency staff person. The consensus is that while the facility may be understaffed at times, the staff try to serve the residents with respect and dignity. Allegation: Facility not safeguarding resident belongings. The department interviewed several residents and staff members regarding safeguarding residents belongings, with emphasis on laundry. Through interviews and documents reviewed, it is determined that the facility encourages residents to label their clothes but does not require it. The facility also has a lost & found for laundry and other belongings. Of those interviewed, two residents had had their laundry lost at some point, but one received it back two weeks later, and another never received it again. Allegation: Not enough dining staff to serve residents. The department interviewed several residents and staff members regarding the facility not having enough dining staff to serve residents. R1 states staff only wake them up when they ring their pendant, and R2 once noticed two residents complaining because they were not brought to the dining room in time for breakfast. Of the others interviewed, they had no issues. S1, S2, S3, and S4 stated that residents are given the option for a room service trey if they cannot make it down to the dining hall, and S3 and S4 stated continental breakfast is offered at any time, even after 9am breakfast time. **Report continued on LIC9099-C** Allegation: Administrator not addressing resident concerns. The department interviewed several residents and staff members regarding the Executive Director not addressing resident concerns. S1 and S5 stated the Executive Director does not have or make time to fix issues with residents, but majority had no issues with the way she handles concerns. It is understood that the facility has been understaffed at times, and R3 stated the Executive Director has begun assisting in the dining room when needed. As a result of this investigation, LPA finds allegation to be UNSUBSTANTIATED - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted and a copy of report left with Marianne Richardson, Executive Director . Allegation: Residents needs are not being met. Through document review, R1 pays for showers three times per week; during time of interview R1 stated it had been 6 days and counting since last shower, and that they once had to go 12 days without a shower. R3 pays for showers two times per week; states they do not receive two, and has to fight for the showers they do get. R4 pays for showers three times per week; states they rarely, if ever, receive that amount and claimed to have a breakdown the morning of interviews because it had been four days and counting without being bathed, and has not had his clothes changed in the same amount of time. R2 states his bed was not changed that week because staff never came to collect his dirty laundry on the past laundry day. It is understood that when clients press their pendant for assistance, it can take anywhere from 45 minutes to multiple hours for staff to respond. The department believes the facility being understaffed is a large reason for the aforementioned incidents. Based on interviews conducted by the department and records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited on the attached 9099-D page. Exit interview was conducted and a copy of this report and appeal rights were provided to Marianne Richardson, Executive Director.