complaint·April 5, 2022

According to S2 and S3, they are unaware of any concerns relating to personal rights of the residents. According to S4, S4 reported that AM staff sit in the break room all shift and residents are left in soiled diapers. According to S5 and S6, the facility has ADL logs and a care system in place in order to ensure proper care is provided to all the residents. S6 stated S6 was surprised by the complaint because S6 felt the staff go the extra mile to care for residents. According to interviews with OA1 and OA2, OA1 and OA2 have visited the facility for a few years and have observed the interactions with staff and residents. OA1 reported no issues to be observed with OA1's client, which has resided at the facility for over two years. OA2 has a close relationship with a resident and has heard great things from the the resident. OA2 had a family member previously live at Amador Residential Care Facility and stated the staff were very kind and attentive to the family member. According to interviews with residents, residents are assisted and did not mention anything regarding staff not being able to assess with ADLs. According to records review of six resident files, LPA observed residents to have updated documents, including Activities of Daily Living (ADL) logs, Showering Logs, and set laundry schedule. LPA observed the ADL log to be signed every shift. Residents are assisted every 3 hours to be assisted with toileting and assisted every other day for showered. If any resident refuses and/or is unable to complete an ADL task for the hour, it is electronically logged by the staff. LPA observed the facility on 01/04/22 and 03/22/22. LPA observed laundry service being provided throughout the shift during each visit. Staff reported that the facility has a set laundry schedule for the day. However, if any resident has soiled laundry, the facility will wash the items on the same day. Based on all the information collected by the Department there is not a preponderance of evidence to prove the allegation occurred, therefore this allegation is UNSUBSTANTIATED. Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore the allegations are unsubstantiated. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. Exit interview was held and a copy of report was left at the facility. Page 2 of 2 ...Continues from LIC 9099-A LPA observed the kitchen. The oven, which is required to cook meats, vegetables, and baked goods, had knobs that were worn down to the point where numbers were missing. LPA requested staff to move heating trays from the heating table. LPA observed rust throughout the entire unit. LPA observed the warming plate heaters to be non-operational, which according to staff have not worked for a long time. According to S1, food is served cold and frozen and there are times where it takes a long time for meals to be served. S1 observed a time where fries were served frozen. S2 stated the food is not bad and recalled of one resident who has asked to warm their food up due to it not being at their preferred temperature. S3 stated there is one resident who has constantly stated food needs to be warmed up. S4 stated food is not prepared fresh. S4 stated most of the residents do not have the cognitive capacity to inform staff that their food is cold or not cooked. S5 stated that when the facility had a COVID outbreak, the food was getting to the residents cold because they were not able to use the warming trays. The food would be warm once it left the kitchen; however, it would get cold once it got to the end of the hall. S7 and S8 informed LPA that the knob for the kitchen oven does not have numbers to indicate cooking temperatures and they have to guess when they cook. S7 and S8 reported they use heat thermometers to check if meat is cooked. For other items, they judge the cooking times based on experience and observation. Based on observations and interviews, 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. Failure to correct the deficiency may result in civil penalties. Appeal rights were provided.  An exit interview was conducted, and a copy of the report was left at the facility.