complaint·November 14, 2024

Facility is in disrepair. – SUBSTANTIATED It was alleged that the facility was in disrepair. LPA visited the facility on 08/26/2024 and observed the following: In the upper dining room LPA observed the section of wall under the breakfast bar had been patched but needed to be painted. LPA observed the section of wall to the left of the hallway (decline) was missing the baseboard and this wall needed to be painted. In this decline hallway the linoleum baseboards needed to be cleaned. LPA observed the baseboard outside of water heater closet was missing and the wall needs to be painted in addition to the hallway wall needs to be painted. Based on LPA observation this allegation is substantiated. Continued on LIC9099-C Staff do not ensure that facility is clean. – SUBSTANTIATED It was alleged that the floors are dirty, the dining area had food on the floors and was very messy, a resident’s room was cluttered, had dirty floors, garbage can was full, bed was not made. During a visit to the facility on 08/26/2024 LPA observed Resident 1's (R1) room was slightly cluttered but was not dirty. LPA observed the shower floor was very dirty. The trash can in the bathroom was not overflowing but did need to be emptied. In the upper dining room LPA observed that the floor had been swept, appeared to be clean yet dark and worn with normal wear and tear. However, LPA did observe significant dirt and grime on the floor next to the double doors. LPA reviewed documents for three residents. The housekeeping weekly assignment sheet states that rooms 8B and 9B are cleaned every Tuesday, and room 17A is cleaned every Wednesday. LPA reviewed housekeeping time sheets which show that there is one full time housekeeping staff. This staff person works 8-hour shift during the day, five days per week. On 08/14/2024 the facility hired a new housekeeper to replace the previous housekeeper. Staff interviews revealed that staff sweep the floor, wipe tables, counters, and chairs after all residents have had their dinner. Resident room floors are mopped twice a week or as needed. Resident trash cans are emptied each shift. Administrator stated We have the deep clean schedule (for each resident room) once a week. Light cleaning is completed by care staff who pick up newspapers, make beds. Staff tries to de-clutter the resident rooms but they have a delicate balance, resident rights, some love clutter. Trash cans are emptied every shift. Resident showers are cleaned weekly according to the house keeping schedule. Based on LPA observation this allegation is substantiated. This allegation will be included in the physical plant citation. Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Appeal rights were provided. Exit interview conducted and a copy of the report was provided to administrator Stacey Baxter. Staff do not respond to resident's call button in a timely manner. - UNSUBSTANTIATED It was alleged that a visitor pulled a resident’s call light, waited 15 minutes and still no staff came to help. LPA toured the facility on 08/26/2024, 09/05/2024, and 11/04/2024 and call bells were answered promptly during the visits. All staff stated that response times are between 2 to 5 minutes but can be up to ten minutes if they are busy attending to another resident. This allegation is unsubstantiated. Staff does not ensure resident is provided clean linen in a timely manner. - UNSUBSTANTIATED It was alleged that staff had removed a resident’s sheets in the morning and never came back. Staff said they are short staffed and didn't have sheets to fit the resident’s bed. Staff interviews revealed that each client has two sets of their own sheets and additionally the facility has a large supply of sheets that can be used. Each resident has their sheets changed twice a week and as needed if soiled. Staff stated that once a resident’s sheets are sent to the laundry a new set is placed on the bed. If a resident’s bed is wet, staff have to let it dry before they can put on the new sheets. Administrator stated New linen is put on with the shower schedule for each resident. Then we have the heavy soakers whose linen is to be changed daily. We always have extra sheets. It’s not just what the resident’s families bring, there is a house supply that they can make the bed from. This allegation is unsubstantiated. Continued on LIC9099-C Staff does not ensure facility is free of odor. - UNSUBSTANTIATED It was alleged that the whole facility had a strong urine odor. LPA toured the facility on 08/26/2024 and 09/05/2024 and did not notice a strong odor. Staff could not recall the facility having a strong smell of urine. Although the complainant experienced a strong smell of urine in the facility on their visit, LPA did not experience this on either day they toured the facility. This allegation is unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. An exit interview was conducted. A copy of the report was provided to administrator Stacey Baxter.