complaint·March 27, 2025

LIC9099-C (Page 5) Allegation: Facility is not checking residents blood pressure Finding: Unsubstantiated On 03/14/2025, LPA interviewed witness (W). W1 stated that the facility is not monitoring residents' blood pressure (bp) by taking their blood pressure readings. On 03/27/2025, LPA interviewed W2 that stated residents that are blood pressure medication are not getting their blood pressure monitored by facility staff. LPA interviewed S1 that stated that before a resident moves in that they will get a medication list from the hospital or skilled nursing facility that will show if the resident is on blood pressure medication. S1 stated that if the doctor's order indicates for example bp "below 140" they will not accept that resident because the facility is not a medical facility and staff are not health professionals. S1 stated that if the resident require their bp to be monitored and check daily then they will tell the resident or resident's family that they can not provide that service. LPA reviewed R1-R7 medication list and doctor's orders and there were no instructions that bp has to be monitored and checked. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted and a copy of this report provided LIC9099 -C (Page 2) Allegation: Facility is restricting visitation Finding: Substantiated On 03/14/2025, LPA interviewed witness (W). W1 stated that the facility has a sign on the front door saying that medical professionals must wear full Personal Protective Equipment (PPE) before entering the facility. W1 stated that there is no mandate required that medical professionals visiting residents are required to wear full PPE. On 03/27/2025, LPA interviewed W2 that stated health professionals from home health agency are being told that they have to wear full PPE before coming inside the facility. W2 stated that there isn't any county mandate currently to require health professionals that are making home visits to have full PPE with them and to wear before entering residential home facility. On 03/27/2025, LPA interviewed S1 and S2. S1 stated that they receive notices from the county informing of contagious disease outbreaks (i.e., Covid, influenza, scabies) and some of the local facilities and that they know some of these health professionals are making visits at these facilities. S1 stated that they are protecting their residents and that they made the policy that visiting health professionals (i.e., hospice nurse, home health nurse, physical therapist, speech therapist) have to wear gown, mask and gloves. S1 stated that if the visiting health professionals do not have the PPE that they are requiring that they can go back and get the PPE and come back. S2 stated that they have told the agencies up front before any of their health agency staff arrives that they need to wear PPE. LPA observed a sign on outside front door that said, "....medical personnel must wear FULL PPE before entering facility. If you do not have FULL PPE, please reschedule your visit." Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted. Appeal Rights and a copy of this report provided.