complaint·September 7, 2023

Continued from LIC 9099 LPA interviewed staff. S8 stated kitchen staff follow the menu. S7 stated the kitchen staff do not follow the menu a lot and is not aware of the reason. S7 stated there is only one kitchen staff during PM shift, which could be the reason. S7 is aware AM kitchen staff help P M kitchen staff, but believes there should be another kitchen staff to assist with ensure quality meals are being produced. S6 stated they try to follow the menu as best as they can; however, it depends on the food items received from the store. Facility staff are not ensuring that residents receive adequate food. According to staff interviews, S1 believes the facility could offer a better variety of food due to residents being tired of the same food, S2 does not believe the allegation is true, S3 did not comment on the food, S4 did not provide information on food, S5 personally believes the food could be better, S6 currently eats the meals that are served, S7 would not eat the food being served and does not believe they offer quality food, and S8 says the food is perfect. According to five (5) resident interviews, 3 residents rated the food as good, 1 resident stated the chicken is bland with no flavor, and 1 resident could not comment on the food. Technical Assistance was provided. Facility staff are not ensuring that residents receive showers according to schedule Based on interviews with staff, staff stated showers are almost always completed and marked in the shower log. If a resident refuses to shower, it is documented in the resident chart. PM staff reported that they are constantly busy and reported an extra staff member would help with getting task done. Based on LPA's observations, LPA did not observe the facility to have a foul odor in the common areas or inside inspected bedrooms. During LPA's interview with residents, LPA did not observe resident's to be in clothing with stains and did not observe greasy or unkempt hair. During LPA's visits, floor staff were often busy assisting with resident care. Facility staff are not keeping accurate resident records. LPA reviewed resident records. LPA did not observe any documents missing or not within compliance of Title 22 regulations. All files were updated annually. There were updated notes regarding appointments, dietary changes, and care plans that reflected current information. Continues on LIC 9099 - C... Continued from LIC 9099 - C... According to an interview with Administrator Karly, the facility keeps paper charts and electronic charts. If an employee forgets to chart on the electronic file, administrative staff can cross check the paper charts. Paper charts are used first and then transcribed to the electronic portion. Administrator Karly stated there are 2 charts for compliance and audit purposes. According to RP, the staff fill in client charts even though a task was not completed. LPA could not find any information or observed any incidents to corroborate with the statement. Facility staff are not meeting residents oral hygiene needs. According to an interview with staff, there are only a few residents that need assistance with oral brushing. Staff will prompt residents to brush teeth or provided hand to hand assistance with brushing. LPA observed the facility ADL checklist log. Each resident has a personalized care plan for their needs. The care plan explains what the resident needs and how staff are to carry out the task. Once completed, the staff will mark if the resident has completed the task or staff assisted. Based on LPA review, there was not a time where staff did not sign off on oral hygiene. During LPAs interview with residents, LPA did not observe thrush inside the resident's mouth. Facility staff are not ensuring that residents are adequately hydrated. LPA Valerio observed the facility on 03/30/23, 07/27/23, 08/01/2023, and 09/07/2023. The visits revealed that the facility had a hydration station available for residents in care. Based on interviews with staff and LPA observation, activity staff prompt residents to drink water during snack pass in addition to caregivers assisting residents to drink the water. According to staff, the facility keeps track of fluid intake. The facility started to add fresh berries, cucumbers, or oranges to the water to increase water intake. Residents have reported that the water taste better with the addition of the fruit. 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.