Complaint·November 26, 2024

LIC9099-C (Page 2) Allegation: Facility does not have sufficient wash cloths Finding: Substantiated On 09/23/2024, the LPA interviewed W1. W1 stated that residents shared with them that there are no towels or wash cloths when residents shower. W1 stated that on 09/05/2024 they observed two (2) towels and one (1) wash cloth in the shower room. On 09/24/2024, the LPA interviewed R1, R2 and R3. R2 stated that they have their own towels that they brought from their home. R3 stated that the facility does not have towels. R4 stated that the facility has towels, but the towels are small, the washcloths are low in quantity and the towels are ripped and have stains on them. On 11/08/2024, the LPA observed approximately ten (10) towels in the shower room. The towels appeared thin, stained, and ripped. LPA brought the observation to the S1 and S2. S1 stated that they have more towels that are getting laundered, and they showed LPA new packages of towels in their office. S1 stated that a lot of towels are thrown away because the caregivers use the towels on residents and that they have to throw them away after use. Allegation: Facility does not provide a variety of food Finding: Substantiated On 09/17/2024, LPA interviewed W1. W1 stated that the facility does not follow the posted menu next to the kitchen and that residents are not given fresh fruits, fresh vegetables and constantly given canned vegetables or processed foods. W1 stated that they inquired about cream, sugar, salt, and pepper for the residents with S3 and that S3 said, “if residents want that, they can buy it.” LIC9099-C Continued... LIC9099-C (Page 3) W1 stated that S3 told them that they tried hiring a new cook, but he did not show up. W1 stated that they explained to S3 that residents have the right to have options and that some residents have dietary needs. W1 stated that S3 said, “residents do not pay her enough to request more.” On 09/24/2024, the LPA interviewed S4. S4 stated that they follow the menu that was provided from a company that they use. S4 stated that they were expecting a food delivery tomorrow with fresh veggies and watermelon. On 09/24/2024, the LPA interviewed R1-R7. R1 stated that the food is not good and taste bland; no snacks are offered and that they don’t follow the menu. R1 further stated that they are served a lot of pork, the presentation doesn’t look good and that you don’t know if it’s meat. R2 stated that the food is pretty good, they have had fresh strawberries. R3 stated that the food is ok but could be better. R3 stated that they get snacks, fresh fruits, and veggies. R4 stated that the facility does not serve fresh vegetables and not enough fresh fruits. But sometimes they have served fresh strawberries and bananas. R5 stated that they have not been served fresh fruits and everything comes from Costco. R6 stated that the breakfast is good with eggs, bacon, and sausage. R6 stated, “the food here sucks,” and that they buy their own food. R6 further stated that the fruits are all canned fruit. R7 stated the food is pretty good, yes, they get a variety of foods and that they also get fresh veggies and fruits On 09/24/2024, the LPA observed bananas, oranges and two (2) watermelons in the food pantry. The bananas were observed with brown spots. Staff stated that they were expecting a food delivery with fresh fruits and other foods. LIC9099-C Continued LIC9099-C (Page 4) Allegation: Facility staff does not treat client with dignity Finding: Substantiated On 09/17/2024, the LPA interviewed W1. W1 stated that during a visit to the facility on 08/05/2024 they observed a bathroom door wide open, north wing, while a male resident was naked with his bottom facing the door. W1 stated that they closed the door to preserve the resident’s dignity. W1 stated that on this same day they observed a staff member enter the same bathroom to sweep the floor while the caregiver was assisting the male resident to the toilet. W1 stated that they attempted to address their concerns with S3 on 08/22/2024, to which they never heard back from. W1 stated that on 09/05/2024 they observed staff referring to a resident using the incorrect pronouns. W1 stated that they spoke with subject resident and that they told them that staff “do it all the time,” and that they don’t like how it makes them feel. On 09/24/2024, the LPA interviewed R1, R3, R4. R1 stated that the caregivers will take off the gown only and you’ll have a diaper on. R1 stated, “I’m not going out there with no clothes” and then the caregiver will place a cover over them. R1 stated that the caregivers are in a rush to give a shower. R3 stated that they’re not always treated with respect and have had words with two (2) of the caregivers. R3 stated that you get little notice for showers and that showers are rushed. R3 stated that the caregivers will cover them with a towel, sometimes a sheet and then push them out to the shower room on a shower chair. R3 stated that the facility is low on staff, but they prefer a female caregiver to give them a shower. LIC9099-C Continued... LIC9099-C (Page 5) R3 stated that the caregivers don’t know no better when it comes to respecting people’s gender identity. R3 stated that their pronouns are She/Her and that they have told the caregivers, but they sometimes call them Him/He. S2 stated that staff were calling R3 "He" but they asked R3 what did she want to be called and she told them "She." R4 stated that they observed the caregivers taking their roommate (R5) out for a shower and they only had a hospital gown on. R4 stated that R5 wasn’t completely covered and that you can see parts of their thighs. R6 stated that they are covered up when the caregivers give them a shower. But sometimes they will try to shower themselves. Based on LPA’s observations and interviews 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), is being cited on the attached LIC 9099D. Exit interview conducted. Appeal Rights and a copy of this report provided to Administrator.