complaint·January 9, 2025

Continued from LIC9099. dated August 9, 2023, that requested documentation from the facility for R1. There was another email on April 23, 2024, that involved the Ombudsman regarding documentation for R1’s responsible party, lastly LPA reviewed an email dated April 25, 2024, that indicated R1’s responsible party received documentation. Staff did not provide resident with privacy. Based on initial interview W1 stated the staff are disturbing and not providing the resident with privacy by constantly coming into the resident’s room. W2 stated during interview staff would barge in R1's room without knocking. Review of charting records from October 2023 to April 2024 indicated how many times staff come in R1’s room per day and what was done or said. LPA observed that on some days staff charted 10 different times staff would go to R1’s room. S6, S7, and S8 stated during interview that staff was instructed by S4 to go to R1’s room to do checks. S7 and S6 stated this is not done to all residents. Same staff stated R1 does not get as many checks now just a few reminders. Based on LPA observations, interviews which were conducted, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted. A copy of the appeal rights and this report provided. Continued from LIC9099. only staff person that was aware of this type of charting being done to another resident. W2 stated there were two (2) ex-employees told by S4 to get the level of care points up, which would increase the monthly service fee. Staff did not provide a comfortable environment for resident. Based on interview with W2 the facility was not welcoming and was a hostile environment. W2 recalled R1 being put in an elevator to go to the lobby and got lost in the basement. W2 felt this action was done intentionally. Based on review of preplacement appraisal dated 5/27/2023, R1 would not need any assistance moving around facility once fully acclimated to the new environment. LPAs spoke with two (2) residents during visit. Both R1 and R2 did not have any complaints about the facility or staff. LPAs observed both rooms were clean, and residents had their possessions. Staff did not assist resident with hygiene needs. During interview with witnesses both stated R1 did not want assistance with hygiene. W1 stated this allegation should not have been made and maybe there was a misunderstanding when reporting. W2 stated that R1 needed a reminder or help possibly once a day with toileting. Staff did not assist resident with laundry. During interview with witnesses both stated R1 did not want assistance with laundry. W1 stated this allegation should not have been made and maybe there was a misunderstanding when reporting. W2 stated the responsible party takes care of R1’s laundry. Continued on LIC9099C. Continued from LIC9099C. Based upon the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted and a copy of report was given .