complaint·December 15, 2022

Video recordings, photos and statements showed that S1-S10 participated in a “private” group SnapChat where photos and or videos were shared among the group of staff of R1- R10. Residents and their responsible parties were not afforded privacy whereby informed consent was not given for the photos to be shared. When informed of the occurrence when the complaint was opened, the Director took appropriate actions to stop the use of the photo site, took disciplinary actions as appropriate with those staff involved and provided staff training to all staff regarding resident rights and program policies. During the Director’s investigation, S6 stated to the Director that S6 would not always wear their required surgical mask in violation of State guidelines and program policy. The facility reviewed and modified their staff sign in procedures to reinforce the policy requiring use of masks. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with . Copy of this report and appeal rights provided. Facility floors are not cleaned and disinfected on a regular basis- Records reviewed, facility inspections and statements provided did not provided evidence to support this allegation. Staff do not ensure that residents have clean linens- Records reviewed, facility inspections and statements provided did not provided evidence to support this allegation. Administrator qualifications- lack of management oversight over staff at the facility- Administrator has current certification and is present at the facility sufficient time. Appropriate hands-on training not provided to staff- Records reviewed and statements provided did not provided evidence to support this allegation. Facility personnel not sufficient in number at all times to meet the needs of residents- Records reviewed, facility inspections and statements provided did not provided evidence to support this allegation. Call button not working in resident rooms- Records reviewed, facility inspections and statements provided did not provided evidence to support this allegation. Resident at risk was allowed direct access to personal grooming and hygiene items- Records reviewed, facility inspections and statements provided did not provided evidence to support this allegation. Locks on resident cabinets are broken- Locks to some cabinets were acknowledged to have not functioned at some time. They did not contain harmful items. The cabinets were replaced timely. Food is not of the quality or quantity necessary to meet the needs of residents- Records reviewed, facility inspections and statements provided did not provided evidence to support this allegation. As a result of this investigation, LPA finds allegation to be (US)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 with administrator. Staff do not provide planned activities of residents- facility has an Activities coordinator and activities calendar as required. Some resident are unable to participate in scheduled activities at times. Facility did not maintain supplies necessary for personal care and maintenance of adequate hygiene practices for residents- physical inspection and interviews showed required supplies are present and hygiene practices were maintained for the period identified in the complaint. This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Exit interview conducted and report provided.