complaint·April 19, 2024

Although 3 of the 4 staff interviewed stated they check R1's BP when requested and put cream on R1's forehead, ears and on the back of R1's ears, the fungus cream run out which was confirmed by LPA with the administrator. MAR showed R1 is given eye drops. Review of records showed R1 has doctor's order for other cream for the scalp in August 2023, however, this particular cream was never refilled, and administrator admitted to not following-up with the doctor. Based on records review and interviews, the preponderance of evidence is met, therefore, the allegation is substantiated. Deficiency is cited from Title 22 California Code of Regulations, and listed on 9099D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12 month period may result in civil penalty. Deficiency and plan and proof of correction were discussed with the administrator. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided. Page 2 Allegation: Staff did not ensure the bathroom has hot water. R1 stated the bathroom has no hot water. All 4 staff, administrator and 2 other residents interviewed stated the facility never run out of hot water. LPA tested the water temperature which was measured at 105.2 degrees Fahrenheit. Allegation: Staff are not meeting residents needs. R1 stated when R1 wet self and asked to be changed, staff told her she'll come back and it took more than 1 hour to be changed. R1 futher stated that the bedsheet was not changed. Staff (S3) stated that on the date of incident, she was assisting other resident in the bathroom and told R1 to wait. S3 stated she came back in less than 20 minutes and assisted R1 to the bathroom and changed her. All 4 staff stated they change residents bed covers daily. During today's inspection, LPA observed the residents beds clean and R1's bed with 2 chux on top of the bed cover. None of the beds were observed wet. Allegation: -Staff did not prevent resident from engaging in inappropriate behaviors. R1 stated resident R4 laughs and stares at her , R2 grabbed her water bottle and R3 stares at her. All 4 staff interviewed confirmed the incident happened but the other 2 residents who were laughing were talking to each other. Staff also confirmed R2 grabbed R1's water bottle; however the R4 and R2 have dementia and they separate and redirect residents when incidents happen. Allegation: Staff made inappropriate comments towards resident. R1 stated when R4 made fun of her and reported the incident to the administrator, the administrator told her to be nice and mind her own business. Although the administrator stated saying to R1, "Be nice, because the residents have dementia", she denied saying 'Mind your own business." All 4 staff and other 2 residents stated not hearing the administrator made inappropriate comments to R1. LPA was not able to obtain information from other 3 residents either due to residents' medical condition/diagnosis or resident was not at the facility. .....continued on 9099C (page 3) Page 3 Allegation: Staff did not ensure facility furniture was clean. R1 stated chairs in the living room never get washed. 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 the covers, and covers are washed. The administrator stated the couches have covers and when get soiled, one of the staff does the washing. LPA conducted inspection and didn't observed any of chairs and couches soiled or dirty. Allegation: Facility has bed bugs. R1 stated she has bed bugs in her body. LPA interviewed 4 staff and 2 residents who all stated not observing bed bugs. LPA conducted inspection and didn't observed any. Based on information obtained and LPA unable to obtain information from 3 residents, all 7 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.