complaint·July 18, 2023

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), is being cited on the attached LIC 9099D. Exit interview conducted with Administrator. Appeal rights and copy of this report was provided. Staff do not ensure requirements for the use of oxygen equipment are met. Based on observation, the facility has 1 large oxygen tank and 23 small oxygen tanks located in the garage. R1 has an oxygen concentrator and an oxygen tank set-up on a rack in the bedroom. Licensee does not ensure staff administering oxygen to residents are appropriately trained. Based on interview with Administrator and record review, R1 is able to turn their oxygen on/off with cueing. The staff can assist R1 with placing the nasal cannula. Administrator provided certificate of training documents of Oxygen Operations - Electric to Portable Use for 5 staff caregivers. Resident sustained unexplained bruises while in care. Based on record review, R1 is on Xarelto medication which is a blood thinner. Taking a blood thinner can cause bruising as a side effect. S1, S2 and S3 state R1 is able to assist with transfers. Staff denied holding R1's arms when transferring. Based on LPAs observations, interviews and record reviews which were conducted, the above allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted. Appeal rights and copy of this report provided.