Complaint·July 20, 2021

Allegation: Resident AWOLed due to neglect and lack of supervision The Department received a complaint on 03/26/2021 alleging resident (R1) eloped the facility due to staff neglect and lack of supervision. On 07/14/2021 and 07/15/2021 LPA spoke with Administrator who stated on 03/23/2021 R1 eloped the facility. Administrator stated staff did not go after resident because there were three (3) other residents in the home to tend to and R1 was acting aggressive toward staff. Administrator stated staff (S1) called R1's family and the local law enforcement. Administrator stated R1 was found in the morning at their father's house the following day. On 07/15/2021 LPA reviewed R1's resident file. Though Administrator stated to LPA that R1 had known elopement behavior, R1's needs and service plan did not address how staff will ensure safety of resident if resident tries to elope the facility. This allegation is found to be SUBSTANTIATED. Allegation: Facility issued unlawful eviction of resident The complaint alleged the facility did not accept resident (R1) back into the facility after their elopement on 03/23/2021. LPA interviewed Administrator on 07/14/2021 and 07/15/2021 who stated they did not agree to take back R1 after R1's elopement on 03/23/2021 due to unknown COVID-19 exposure. Administrator confirmed a written notice was not provided to R1 or their representative. This allegation is found to be SUBSTANTIATED. Due to the above information the Department finds the allegations listed above to be SUBSTANTIATED meaning the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies being cited can be found on LIC-9099-D, per California Code of Regulations, title 22. Exit interview conducted, copy of report and appeal rights provided. Allegation: Staff do not serve nutritional food Complaint alleged the facility staff was not serving nutritious meals to residents in care. On 07/08/2021 LPA reviewed facility menu and pictures provided by Administrator of resident meals. LPA observed the facility to provide three (3) meals a day with two (2) snacks in between. LPA observed meals to consist of fruits and vegetables as well as protein and healthy starches. LPA spoke with two (2) of two (2) residents on 07/08/2021 who stated the food was good. Residents did not state they had issues with food. No further evidence could be provided. LPA finds the allegation to be UNFOUNDED. Allegation: Staff speak harshly to residents Complaint alleged staff (S1) yells and is rude to residents in care. LPA spoke with two (2) of two (2) residents in care on 07/08/2021. Residents stated the staff treat them fine. Residents stated they did not hear yelling. LPA spoke with Home Health Nurse on 07/08/2021 who stated their patient did not voice any concerns with his care and is happy with his care. LPA interviewed staff and Administrator on 07/08/2021 and 07/15/2021 who stated staff do not yell at residents. No further evidence could be provided. LPA finds the allegation to be UNFOUNDED. Allegation: Facility failed to issue a refund Complaint alleged the facility did not issue a refund to R1 after being evicted. On 07/08/2021 LPA spoke with R1's placement agent who stated they received confirmation from R1's representative that R1 did receive a full refund in April 2021, the same month R1 left the facility. LPA finds the allegation to be UNFOUNDED. Allegation: False claims On 07/08/2021, LPA interviewed two (2) of two (2) residents in care who did not report facility providing false statements to residents. LPA spoke with key witnesses who did not believe the facility was providing false statements or claims. No information or evidence could be provided by key witnesses that facility is providing false claims. LPA finds allegation to be UNFOUNDED. Based on interviews, records review and facility visit observations, LPA finds the allegation(s) listed above to be UNFOUNDED meaning Exit interview conducted. Copy of report provided.