complaint·March 8, 2024

Allegation: Staff made inappropriate comments towards resident. It was alleged that staff (S1) tells R1 "that's your problem" and call R1 "bitch". Although 4 of the staff stated it was R1 who always say "bitch" to the staff and other residents, S1 admitted to telling R1 "it's your problem if you don't ignore e R1" when R1 called S1 when R2 was bothering R1. Allegation: Staff did not prevent resident from engaging in inappropriate behaviors. It was alleged that R2 keeps on following resident (R1) around and barging into residents rooms and staff is not doing anything. It was further alleged that R1 was upset due to staff sitting R2 next to R1 in the dining table. Four of the staff stated R2 has wandering behavior. One of the two residents interviewed stated staff do nothing to get R2 out of his room while the other one stated the staff yells at R2 to have R2 go out from the residents' room but most of the time, do nothing at all and R1 gets agitated when R2 goes to R1's room. Review of R2's record showed R1 has wandering behavior which LPA observed R2 wandering and going in and out of residents' rooms, kitchen, dining and hallways the whole time LPA was conducting investigation. LPA further observed and upon interview learned that there's only caregiver on duty from 6:00 a.m. to 3:00 p.m., and 1 caregiver from 3:00 p.m. to 11:30 p.m. and most of the time not able to redirect R2 right away when R2 goes to residents' rooms. Based on the information obtained, the preponderance of evidence has been met, therefore the allegations of "Staff made inappropriate comments towards resident" and "Staff did not prevent resident from engaging in inappropriate behaviors." are substantiated. Deficiencies are cited from Title 22 California Code of Regulations, and listed on 9099Ds. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with Mirriam Paras over the phone. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided. All 3 staff interviewed stated they check R1's blood pressure when requested and record the reading, All 3 staff confirms R1's roommate (R5) screams when being changed; however, they try to calm R5 down. LPA was unable to interview R5. There was record of R1's blood pressure but only for 1 day. Allegation: Staff are not providing a comfortable environment for resident. R1 stated that her room is cold at night. All 3 staff interviewed stated that R1 complained about R1's room being cold. Facility has centralized heater but when R1 complained about the room being cold, R1 was provided a portable heater. LPA observed a portable heater in R1's room and the room's windows with coverings/curtains. LPA also checked the room temperature at around 4:00 pm which was measured at 68.7 degrees Fahrenheit. LPA was not able to obtain information from R1's roommate. Two other residents were interviewed who stated the temperature is at comfortable level. Allegation: Staff did not ensure facility furniture was clean. It was alleged that chairs in the living room are not clean. LPA interviewed 4 staff who stated the chairs and couches in the living room have covers and at times get soiled when residents spill food or have accidents but when these happen, they removed and wash the covers. LPA conducted inspection and didn't observed any being soiled or dirty, Based on information obtained and LPA unable to obtain information from R1's roommate, all 3 allegations are closed as unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiency cited. Exit interview conducted and copy of this report provided.