complaint·February 25, 2025

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED . California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided. Staff left resident in wheelchair for an extended period of time. Interview with staff revealed that R1 can transfer to bed and sometimes need help with transfer. S6 stated that R1 likes being in the wheelchair all the time. Sometimes when S6 put R1 to bed, R1 wants to stay in the wheelchair to watch TV. Staff did not provide resident a clean bed. Interview with witness indicated that R1’s bed is not clean and mattress has urine stain. However, LPA toured a few resident’s rooms and observed the beds are clean. Interview with staff revealed that resident’s beddings would be changed when it’s soiled or wet. Staff did not ensure resident's room was clean and sanitized. Interview with witness indicated that R1’s room was uncleaned and feces were found under the bed. However, LPA toured a few resident’s rooms and observed resident rooms were cleaned. Interview with residents and staff revealed that resident’s rooms are cleaned once a week. Residents stated they did not have any issue of having the room cleaned. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore these allegations are UNSUBSTANTIATED . No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.