complaint·August 14, 2024

On 04/06/2022, the Sheriff’s Department was contacted and found a resident (R1) outside at 3:00AM calling for help. R1 is legally blind and the Sheriff’s were trying to get ahold of the live-in staff (S1) for over 45 minutes with no success. The Administrator was contacted after, and the live-in staff came out of the room. Based on interview with the Administrator (ADM), it was stated that they have 2 live-in staff at the facility. ADM questioned the staff on why they couldn’t hear the Sheriff banging on their door. ADM states the staff were sleeping at the time and was apologetic. ADM states the facility does not have an awake care staff because the residents are independent and does not require night-time supervision. ADM states the live-in staff are only required to do midnight bathroom checks. It was stated that they used to have alarms on the door, but it wasn’t serving any purpose because the residents are high functioning. Residents are free to go outside in the driveway or the backyard. Based on interview with staff (S1), S1 states to have checked in on the resident’s around 2:00 – 2:30AM and observed R1 was in the room. After 2:30AM, S1 did not know why and when R1 went outside. S1 states to have not heard the knocking because S1 was sleeping. Based on resident interview, it was stated that R1 went outside to get some fresh air when he/she fell down and couldn’t get up. R1 was calling for help. R1 denied any pain when he/she fell. The review of records confirms that R1 was sitting outside of the facility yelling for help. The Sheriff’s knocked on S1’s locked door hard and loud for approximately 45 minutes but was unable to wake up S1. The Department has investigated the above allegation. Based on interview, record review and observation the preponderance of evidence standard has been met, therefore, the above allegation is substantiated. A deficiency was cited per California Code of Regulations, Title 22. See LIC9099-D. A case management visit was conducted on 08/14/2024 due a violation observed during the complaint investigation. See LIC809. This report was reviewed with Administrator, Virgil Valin and a copy of the report and appeal rights were provided. PAGE 2 OF 2.