Complaint·May 13, 2025

Regarding the allegations, “Staff did not treat residents with dignity and respect, Staff did not provide a safe and comfortable environment for residents and Staff member handles residents in a rough manner,” it is the concern of the reporting party that Staff 1 (S1) is not very friendly to the residents, lacks respect in their treatment of them, behaves harshly, shows impatience, handles residents roughly, that certain residents are fearful of S1, and are unhappy when S1 is around. It was further reported that on 06/27/2024, S1 was witnessed roughly grabbing a resident (name unknown, no injuries reported). Interviews conducted with staff revealed that majority of the staff interviewed have witnessed S1, handling the residents in a rough manner by pulling them, yelling at the residents, not allowing residents to wandered around the facility freely and not treating them with respect. Some staff went to say they have witnessed S1 hit some of the residents (No injuries were reported). Interview with Administrator Sean Beharry confirmed that residents, staff and resident’s family members have voiced concerns regarding S1 and how they treat the residents. File review revealed that personal rights have been previously addressed with S1. S1 was interviewed and denied the allegations. However, based on statements from witnesses, the allegations listed above are deemed Substantiated at this time. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 9099-D). Exit Interview conducted. A copy of the report and appeal rights were issued. Regarding the allegation, “Staff member did not provide resident with clean linen ,” it is the concern of the reporting party that S1 retaliated against a resident by not providing a top sheet for them but providing one for their roommate. Date was not provided. To investigate the allegation, the LPA conducted interviews with Staff, residents, and resident’s; however, the individuals were not present during the incident and therefore, could not offer sufficient information regarding whether it did or did not occur. Staff further revealed that even though S1 is not a good care giver, they are a good housekeeper. S1 was interviewed, denied allegation and further revealed that it is not part of their responsibility to make the resident’s beds, unless they are instructed to and if so they ensure that the resident’s beds are properly made with all the bedsheets. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Exit interview conducted. Report Provided.