complaint·November 1, 2023

Allegation: Facility is unsanitary Investigation Finding: Substantiated Continuation Staff (ADM1) confirmed with LPA that the main couch in the living room had urine/feces stains due to frequent usage by residents. LPA observed living room couch had urine stains on fabric during visit on 07/14/23. ADM stated that in August 2023 that she purchased a cleaning machine that staff use regularly to remove the stains and odors from the faux upholstered and suede covered living room couches. Based on the department’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) facility is unsanitary was found to be substantiated. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due dates and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted, appeal rights and copy of report provided. Allegation: Facility is odiferous Investigation Finding: Unsubstantiated During investigation, the department conducted interviews of facility staff & responsible parties and reviewed resident (R1) documents. On 07/14/23 at 10:30AM, LPA toured the facility with staff (S1) including but not limited to the main dining area, kitchen, storage areas, living room, common hallways, bedrooms, bathrooms and activity room. LPA observed no odiferous odors from the areas inspected. LPA also observed S3 cleaning the common hallways while touring with S1. Based on records review, interviews conducted, and observations made, the department has investigated the above allegation that the facility is odiferous and found it to be unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that the facility is odiferous is unsubstantiated. Allegation: Staff do not accord residents with dignity while in care Investigation Finding: Unsubstantiated During investigation, the department conducted interviews of facility staff (S1, S2) who denied not treating residents with dignity while providing care and supervision. Staff (S1, S2) stated they do not tell residents to “go away” or “go sit down” when they need help. During visit. LPA observed staff assisted residents with their prescribed medications, meals without yelling or screaming at them and responded to their requests for help in a friendly manner. Based on records review, interviews conducted, and observations made, the department has investigated the above allegation that staff do not accord residents with dignity while in care and found it to be unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff do not accord residents with dignity while in care is unsubstantiated. Continued on next page, LIC 9099-C pg2 Allegation: Staff do not accord residents with privacy while in care Investigation Finding: Unsubstantiated During investigation, the department conducted interviews of facility staff (ADM1,S2) who stated that most residents know their prescribed medication schedules and would go to the medication room daily to take their prescribed or over the counter medications. S2 stated staff rarely dispense medications in front of other residents in the dining room. LPA interviewed residents (R1, R2, R3, R4) who confirmed they take their daily medications from staff inside the medication room. Based on records review, interviews conducted, and observations made, the department has investigated the above allegation that staff do not accord residents with privacy while in care and found it to be unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff do not accord residents with privacy while in care is unsubstantiated. Allegation: Staff do not ensure that residents have the ability to request assistance when needed Investigation Finding: Unsubstantiated During investigation, LPA toured the facility with staff (ADM1) including but not limited to the main dining, kitchen, living room, bedrooms, bathrooms, activity room. LPA observed each bedroom has an emergency call/pull cord situated against the wall next to the residents’ bed. ADM stated residents can pull the cord when necessary to alert staff for assistance. Based on records review, interviews conducted, and observations made, the department has investigated the above allegation that staff do not ensure that residents have the ability to request assistance when needed and found it to be unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff do not ensure that residents have the ability to request assistance when needed is unsubstantiated. Continued on next page, LIC 9099-C pg 3 Allegation: Facility does not have sufficient amount of staff to meet residents’ care needs Investigation Finding: Unsubstantiated During investigation, the department conducted interviews of facility staff & responsible parties and reviewed staff records. Review of personnel records dated 07/2023 showed the facility had sufficient staffing including on call staff available for scheduled AM, PM and NOC shifts to provide care and supervision to residents in care. LPA interviewed residents (R1, R2, R3, R4) who stated that staff met their care needs. Based on records review, interviews conducted, and observations made, the department has investigated the above allegation that the facility does not have a sufficient amount of staff to meet residents’ care needs and found it to be unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that the facility does not have a sufficient amount of staff to meet residents’ care needs is unsubstantiated. Allegation: Staff do not ensure that residents get a sufficient quantity of food while in care Investigation Finding: Unsubstantiated During investigation, the department conducted interviews of facility staff & responsible parties and reviewed scheduled meal deliveries and records. Staff (S1) stated they order and receive deliveries of groceries (variety of meats, breads, fresh fruits, vegetables, cereals, eggs, canned goods, potatoes, pancakes) every week. If residents do not like the food, they are given sandwiches that they can eat plus 2 snacks per day. S1 stated there are a few residents that need to follow a special diet as prescribed by their doctors to control their diabetes, high blood pressure, mechanical soft diet for some with digestive issues. Residents on a regular diet are given second helpings upon request. Staff serve residents breakfast, lunch, dinner, snacks in between meals and drinks daily. LPA observed staff preparing snacks and drinks for residents during visit. Based on records review, interviews conducted, and observations made, the department has investigated the above allegation that staff do not ensure that residents get a sufficient quantity of food while in care and found it to be unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff do not ensure that residents get a sufficient quantity of food while in care is unsubstantiated. Continued on next page, LIC 9099-C pg 4 Allegation: Staff did not ensure that resident’s diapering needs were met while in care Investigation Finding: Unsubstantiated During investigation, the department conducted interviews of facility staff & responsible parties and reviewed resident (R1) documents. On 07/14/23 at 11:30AM, LPA interviewed resident (R1) who stated that staff helped her with changing her diapers daily. During visit, LPA interviewed other residents (R2, R3, R4) who stated that staff assisted them with their activities of daily living such as showering, toileting, grooming, dressing, changing diapers, medications and meals. Based on records review, interviews conducted, and observations made, the department has investigated the above allegation that staff did not ensure that resident’s diapering needs were met while in care and found it to be unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not ensure that resident’s diapering needs were met while in care is unsubstantiated. Allegation: Staff did not ensure that resident’s showering needs were met while in care Investigation Finding: Unsubstantiated During investigation, the department conducted interviews of facility staff & responsible parties and reviewed resident (R1) documents. Review of resident’s (R1) functional assessment dated 07/01/23 showed R1 required total assistance with bathing (helping residentl in and out of the tub, complete washing and drying of the body). During visit, LPA interviewed R1 who stated that staff assists her with bathing, hygiene, toileting, dressing, eating, medications, changing diapers, telephone use and transportation to outings and shopping. LPA observed R1 was clean and odor free. Based on records review, interviews conducted, and observations made, the department has investigated the above allegation that staff did not ensure that resident’s showering needs were met while in care and found it to be unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not ensure that resident’s showering needs were met while in care is unsubstantiated. Exit interview conducted and a copy of this report provided.