complaint·May 30, 2025

...Continued from LIC9099. Staff does not provide adequate supervision resulting in resident wandering away from facility. LPA reviewed a sample of Residents records (R1, R2, R3). The LIC602 dated 02/25/25 for R1 revealed the R1 has macular degeneration, essential tremors, Mild Cognitive Impairment (MCI), and is unable to leave the facility unassisted. R1’s LIC 624 dated 05/20/25 reports that on 05/13/25 R1 left the facility without supervision and was returned to the facility by El Cerrito Police department. S6 stated that the staffing was questionable, and both Assisted Living and Memory Care's staffing should be assessed, and S7 stated that there should be more focus on the actual care of the residents. Based on information obtained, the allegation is SUBSTANTIATED . A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Exit interview conducted, appeal rights and a copy of this report provided Tracy Gibson, AED. ...continued from LIC9099A. Allegation: UNSUBSTANTIATED Staff leaves resident soiled for an extended period of time. Staff does not ensure to dispose expired medical care supplies. Staff leaves resident soiled for an extended period of time. The allegation is related to R1 being soiled with feces for over 2 hours. Interviews with Staff S4, S5, S6 and S7 reveal that they were not aware R1 or any other resident remaining soiled for over 2 hours. S5 and S7 confirmed that a response to the resident could take up to 30 minutes after a caregiver is requested over the radio. Staff does not ensure to dispose expired medical care supplies. S8 stated that an expired medical supply was left unattended S1 at the facility. LPA and S2 toured the LPA toured the medical station, kitchen, shower and laundry room; there weren’t’ any expired medical supplies and the medication that were no longer in use we re properly destroyed and remained lock with a destruction that was monitored and control by S3 on the day of the visit. Based on information obtained, the allegation is UNSUBSTANTIATED . A finding that the complaint is unsubstantiated means that the allegations are not valid because the preponderance of the evidence standard has not been met. Exit interview conducted, appeal rights and a copy of this report provided Tracy Gibson, AED.