complaint·February 19, 2025

It was alleged that Staff #1 (S1) is physically rough when working with Resident #1 (R1). Interview revealed that R1 preferred for S1 to provide their care and that R1 regularly asked for S1 to work with them. Staff interviewed indicated that R1 requested male caregivers often, particularly S1. LPA was unable to interview R1 related to this allegation. Staff interviewed indicated that they had never observed any staff handling R1 roughly. Other residents interviewed indicated that the care provided is adequate and they had never personally been handled roughly or were aware of other residents being handled roughly. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. 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. No citations issued related to the above allegation. Exit interview conducted. A copy of today’s report was provided. The complaint alleges that staff make rude and disparaging comments about Resident #1 (R1) related to their mental health condition, which creates an uncomfortable and unsafe environment for R1. Although management denied the allegation, interviews with staff revealed that they have heard multiple other staff members comment and make fun of R1 behind their back. Additionally, LPA spoke with 2 (two) other witnesses not employed by the facility, both of whom indicated they had overheard certain staff talking and laughing about R1. While LPAs were only able to briefly discuss this particular complaint with R1 during the initial complaint visit, R1 did express to LPA at that time and in previous interviews that staff are rude to R1 and that staff made fun of R1 and their condition. R1’s physician’s report indicated R1 had a diagnosis of paranoid schizophrenia. As a result of R1’s diagnosis, R1 would “call for help constantly,” according to staff. R1 reported that staff would come to assist, but would be rude and short with them. At times, R1 indicated that staff would purposely put the pull cord out of reach of R1, who was bedbound, and R1 had to use their cell phone to call the front desk for assistance. Staff interviewed indicated there was no specific mental health training provided or training on how to address R1’s particular needs, and as a result staff were unaware of how to talk to R1 appropriately. Based on information gathered during the course of the investigation, there is sufficient evidence to support the allegations that “staff made inappropriate comments towards resident” and “staff are not providing a safe and comfortable environment for resident” are deemed SUBSTANTIATED at this time. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiency was cited (refer to 9099-D.) Administrator was informed that failure to correct the deficiencies may result in civil penalties. Exit interview conducted, appeal rights discussed and a copy of this report and appeal rights were provided.