complaint·November 1, 2024

Continued from LIC9099. once a week or as often as needed. Based on observation, besides the sheets that were on the beds, the facility owned five (5) fitted sheets, several flat sheets, and two (2) of the fitted sheets was for a bed size that wasn’t present at the facility. LPA observed one (1) sheet that was stained and had to be discarded. Allegation: Staff do not assist resident with grooming R1 was admitted into the facility 2/13/2013. Review of the admission agreement indicated that at the time of admission R1 was able to self-groom. RP stated during interview that R1’s hair was not washed and R1 was wearing a dirty shirt. On the functional capability assessment and the appraisal needs and services plan dated 8/2/2023 it indicated R1 was not capable of self-grooming. S1 stated that a caregiver would groom R1. LPA reviewed pictures that were submitted and observed R1’s nails were long and had dirt underneath. The pictures also displayed R1’s hair unkempt. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are 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. A copy of the appeal rights and this report provided. Continued from LIC9099. Costa Regional Medical Center dated 7/31/2023 indicates bruising but not from abuse or neglect. Allegation: Staff do not meet residents' dietary needs. During initial interview with RP it was stated that R1 had lost a significant amount of weight between 2020-2023. S1 stated a weight loss log is not kept unless it is noticeable. Review of the physician’s report dated 09/27/2019 did not have R1’s weight listed but did state that R1 was a 2000 ADA calorie diet. Allegation: Staff do not assist resident with bathing Based on initial interview with RP it was stated R1 was wearing a dirty shirt, hair was not washed, and she was unkempt. S1 stated that R1 was given a bath every other day and more if needed. Allegation: Facility is not maintained clean and sanitary at all times On 6/16/2023, the RP visited the facility and stated during interview the floors were “dirty”. Pictures with unknown dates were also submitted showing the floor underneath a bed was unsanitary. LPA L. Holmes toured the facility during visit on 8/02/2023 and observed the facility to be sanitary. Allegation: Staff do not allow resident to keep and use their own personal possessions During record review it indicated that on the functional capability assessment and the appraisal needs and services plan dated 8/2/2023 that R1 is not capable of self-grooming. RP stated a brush was requested for R1 and staff brought a Continued on LIC9099C. Continued from LIC9099C. “community brush” and someone removed R1’s hygiene products from her room. S1 stated during interview that R1’s brush is kept in the bathroom, however, when LPA L. Holmes toured facility she observed the brush sitting on R1’s night stand along with personal hygiene products in R1’s room. Based upon the information obtained during investigation. The above allegations are 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 violations occurred. Exit interview conducted and a copy of report was given .