complaint·November 17, 2022

LPA observed in the Plan of Operation submitted to Community Care Licensing (CCL) upon Licensure that the facility under Basic Services Provision or arrangement for transportation to local functions such as church or doctor appointments within a near by radius will be provided. And under Transportation Transportation is provided by several means...and residents special need in the facility van. Based on interviews, the preponderance of evidence standard has been met. Regarding allegation, "Facility staff member did not assist resident with a brief change in a timely manner resulting in resident sitting in feces for an extended period of time." LPA conducted interviews of (S1-S6) and (R1) which revealed that residents are not being changed timely for incontinence. This personal rights violation would be residents bedding not being changed with the incontinence care leaving brown spots on the bed and leaving the resident in urine and/or feces for an extended period of time. LPA observed in the Plan of Operation submitted to Community Care Licensing (CCL) upon Licensure that the facility under Basic Health Services facility will provide observation and assistance with personal needs and bedside care needs. Based on interviews, the preponderance of evidence standard has been met. Regarding allegation, "Facility staffing is not sufficient to meet the needs of the residents" LPA conducted interviews of (S1-S6) and (R1-R7) which revealed conflicting information. LPA obtained information that the facility is cross training/working staff. In addition, LPA received information that care staff are used to transport food to the independent apartments next door on a daily basis for all meals. There is at this time 26 residents and 1 caregiver to each floor with 1 Medication Technician. Specifically, on days when 1 staff does not work there is only 1 caregiver and MT 1 of which is used to deliver meals to the independent apartments next door during their shift which leaves an insufficient number of staff for the supervision of residents. Based on interviews the facility is in need of additional staffing. Based on interviews, the preponderance of evidence standard has been met. Based on interviews and observations, the preponderance of evidence standards has been met; therefore, the above allegation(s) is found to be SUBSTANTIATED. A finding that the complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiencies are being cited on the attached 9099D during this visit. If any of the cited deficiencies are not corrected by the noted due dates; civil penalties may be assessed. The Administrator was provided a copy of their rights (LIC9058) and their signature on this form acknowledges receipt of these rights. An exit interview was conducted and a copy of this report was provided.