complaint·February 19, 2025

Continued from LIC9099... Another situation happens when Licensee attends to resident’s psychiatrist appointment by not providing privacy for the residents and the Licensee do not allow residents to participate in the decision-making of their care planning. Based on interviews conducted with residents (R1, R2, R3 & R4) and staff (S1 & S2), it was revealed that Licensee (S1) and staff (S2) yells at residents in average of two to three times per day, S2 yells “why are you wasting food?”, S1 tells another resident “You must eat all your food”, Licensee will yell at another resident because this resident “does not get it”. Licensee confirmed that there is one resident (R1) who had problems with their diet because when R1 was diagnosed with a urinary tract infection (UTI) didn’t want to eat enough as encouraged by their physician to eat a little bit more. However, based on records review of doctor’s visit on 11/6/24 indicates that R1 had elevated glucose reading. LPA was unable to determine if it was consented or not for Licensee to be present at psychiatrist visits. The Licensee also confirmed their presence into the resident’s psychiatrist appointments to get information about their health, but they leave them alone after the Licensee bring up their concerns. Although, LPA was unable to receive confirmation from R1 if this practice bothers them or not. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is cited on the attached LIC 9099D. Appeal Rights Given. The Department will review information obtained to determine if any further action is needed.