complaint·February 8, 2023

Deficiency is cited from Title 22 California Code of Regulations and Health and Safety Code (see 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 Administrator. Exit interview conducted. Appeal Rights, LIC9099D, and copy this report provided. Allegation: Facility staff yell at resident – Unsubstantiated The Department has investigated this allegation, per interviews and found that staff yell at resident was not observed or witnessed by staff and residents who were interviewed. Allegation: Facility staff does not ensure effective communication between care providers – Unsubstantiated The Department has investigated this allegation, per record reviews and interviews, and found that each time when the communication devices (Walkie Talkie) were broken, Administrator had made affords to repair or replace them. Multiple receipts of repairing or replacing devices, and communication with vendors as proved documents were reviewed and obtained by the department. Allegation: Facility staff segregate residents to certain dining rooms – Unsubstantiated The Department has investigated this allegation, per interviews and found, staff stated that residents were assigned to dinning room where was close to where they lived. All residents were served the same meals except some residents have special diet. Staff stated that no discrimination was observed or witnessed. Allegation: Facility is in disrepair, staff does not maintain facility clean, sanitary, and free of odors, and facility has pests – Unsubstantiated The Department has investigated this allegation, per interviews and record reviews and found, staff stated that facility is clean in general, if something was broken, maintenance staff always fixed them in short period of time. Staff stated that janitors cleaned bathrooms and bedrooms daily. Facility has the contact with pet control company Xpedite Pest Elimination that inspected the facility monthly. The receipts of services from January 2022 to January 2023 as proved documents were reviewed and obtained by the department. During the course of the investigation, facility was observed in good sanitary condition and free of odors. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did occur, therefore the allegations are UNSUBSTANTIATED. No deficiency cited. Exit interview conducted with Administrator and a copy of this report provided.