5. Supervisory Neglect

Hours:    None

 
Facility Type: 735 (Adult Residential)

Allegation
Staff at facility are leaving the residents unattended for long periods of time.

Investigation Findings
LPA conducted an unannounced follow-up complaint visit to deliver findings on the above complaint allegation. During today’s visit LPA met with licensee/administrator and discussed the purpose of today’s visit.

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.

The investigation revealed: Interviews conducted with staff person #1 stated he was not home at the facility 7/14/2017, and is not sure which staff was present at the facilty. 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.

Based on LPA’s observations and interviews which were conducted and records reviewed, 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 are being cited on the attached LIC 9099D.

Deficiency Type / Section NumberDEFICIENCIESPLAN 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.

 
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. Caregivers who have power and influence over others’ lives can use that power to harm or exploit, rather than to support and nurture. 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:

  • Insults and harassment
  • Denial of conditions necessary for physical and emotional well-being
  • Denial of communication
  • Denial of the right to family life
  • Denial of social interaction and inclusion
  • Denial of economic stability
  • Denial of rights, necessities, privileges, and opportunities
  • Denial of ordinary freedoms

 
Examples of Neglect:

Lack of basic hygiene, adequate food, or clean and appropriate clothing

Lack of medical aids (glasses, walker, teeth, hearing aid, medications)

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 (stove, refrigerator, heat, cooling, working plumbing, and electricity)

Untreated pressure “bed” sores (pressure ulcers)

 
Psychological Abuse In The Elderly
Psychological neglect deprives elders of healthy mental well-being. Prolonged periods of solitude and failure to provide adequate companionship contribute to such neglect. 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.

 

Sources

“Common Signs and Symptoms of Abuse, Neglect, and Exploitation” Stanton Home, Apr. 2017,
stantonhome.org/wp-content/uploads/2017/04/Signsofabuseneglecttraining.pdf.

Eckroth-Bucher, Margie. “Devious Damage: Elder Psychological Abuse” Aging Well, Vol. 1, No. 4, P. 24, 2008,
www.todaysgeriatricmedicine.com/archive/101308p24.shtml.

Facility Report
https://secure.dss.ca.gov/ccld/TransparencyAPI/api/FacilityReports?facNum=336424483&inx=9

“Red Flags of Abuse.” Center of Excellence on Elder Abuse and Neglect, 2020, www.centeronelderabuse.org/Red-Flags-of-Elder-Abuse.asp.

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