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LPA conducted an unannounced follow up complaint visit to deliver findings on the above complaint allegation. The investigation consisted of the following: LPA interviewed facility staff, facility clients, and outside parties. LPA also requested a current LIC 500 (personnel report), and client roster.
Interview with the administrator denied leaving clients at home alone without staff present. Interviews conducted with clients #1 & #3 revealed that there are times when the clients are at the facility without staff present and that client #3 is in charge, or operating as staff.
| Deficiency Type / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
|---|---|---|
| Type B 12/06/2017 Section Cited CCR 80078(a) | Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the client's needs. This requirement is not met as evidenced by: Based on interviews conducted, it was revealed that staff failed to provide 24 hour care and supervision to the clients in place which poses a potential health and safety risk to clients in care. | Administrator agreed to ensure the clients have constant supervision at all times by staff. Administrator has agreed to conduct an in-service training on Title 22 Responsibility 80087 for Providing Care and Supervision. Submit proof of training to LPA by POC date of 12/6/17. |
Interview with the administrator denied leaving clients at home alone without staff present. Interviews conducted with clients #1 & #3 revealed that there are times when the clients are at the facility without staff present and that client #3 is in charge, or operating as staff.
Psychological or emotional abuse is the most difficult form of abuse to identify. Even though emotional abuse often happens along with other forms of abuse, it can also occur by itself.
Emotional abuse can take the form of threats, insults, harassment, and less noticeable forms that are difficult to detect. These can be perpetrated by individuals or by representatives of caregiving systems.
Common types of emotional abuse and neglect:
Examples of Neglect:
Lack of basic hygiene, adequate food, or clean and appropriate clothing
Lack of medical aids
A person with dementia left unsupervised
Person confined to bed and left without care
Home cluttered, filthy, in disrepair, or having fire and safety hazards
Home without adequate facilities
Untreated pressure “bed” sores
A caregiver may provide sufficient essentials such as food, water, and shelter but neglect to provide the elder with satisfactory social stimulation. Likewise, interfering with decision making, making false accusations, and controlling the individual’s freedom can effectively destabilize the elder and lead to isolation, feelings of low self-esteem, and psychological pain.
Psychological abuse and neglect can exacerbate clinical depression from which an older adult may already suffer and may aggravate other mental health issues as well.
