complaint·November 13, 2024

During a review of facility care notes, LPA observed that on Friday, July 12, 2024, and Wednesday, July 17, 2024, the bathing was not documented as being completed with no proof that the resident ever denied those showers. Furthermore, On October 23, 2024, LPA conducted an interview with the Administrator via email and learned that the facility has no corroborating evidence to support that the resident denied the showers during said dates (See LIC 9099D) . LPA educated the Administrator on the importance of ensuring that Care and Supervision are being given to all residents in care at the facility as outlined in Title 22 Regulation and Health and Safety Code §1569.2 . Deficiencies cited from the Health and Safety Code. Appeal rights were provided. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in Civil Penalties. Exit interview was conducted, and a copy of this report was signed and given to the Resident Services Director along with Appeal Rights. Complaint alleges that Staff did not meet a resident's incontinence needs. Based on interviews that were conducted, LPA received inconsistent statements throughout the course of the investigation. LPA reviewed the LIC 602 which revealed that the resident does not make it to the bathroom on time. During this review, it is noted on the LIC 602 that the resident can care for toileting needs. Furthermore, LPA could not corroborate the above allegation due to insufficient evidence. Complaint alleges that Resident sustained unexplained injuries while in care. Based on interviews that were conducted, LPA received inconsistent statements throughout the course of the investigation. LPA reviewed the Hospital Notes and observed notations that the resident has had two unwitnessed falls at the facility. Furthermore, LPA could not corroborate the above allegation due to insufficient evidence. Complaint alleges that Staff did not address a resident's change in medical condition. Based on interviews that were conducted, LPA received inconsistent statements throughout the course of the investigation. LPA reviewed the Hospital Notes and observed notations that the resident has decreased appetite and that a higher level of care is possibly needed for the resident. During the hospital evaluation, the attending doctor suggested 24-hour supervision/care for the resident and that an assisted living environment might not be suitable for the resident. Furthermore, LPA could not corroborate the above allegation due to insufficient evidence. A finding that the complaint allegations of Staff did not properly report incidents involving a resident, Staff did not meet a resident's incontinence needs, Resident sustained unexplained injuries while in care and Staff did not address a resident's change in medical condition are unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Resident Services Director.