complaint·February 17, 2023

Allegation: Staff did not ensure resident had clean clothing Investigation Finding: SUBSTANTIATED Based on interviews and record reviews which were conducted, former ED confirmed with LPA during visit that residents are not being assisted in a timely manner, resulting in medication, feedings, showers, diaper changes and ADL being done late or not at all due to insufficient staffing. These concerns/ statements were communicated by staff, residents and residents’ family members. The preponderance of evidence has been met. Therefore, this allegation is substantiated. Allegation: Resident was left in soiled clothing for an extended period of time Investigation Finding: SUBSTANTIATED Based on interviews and record reviews which were conducted, former ED acknowledged with LPA during visit that staff response time was an ongoing problem resulting in residents not being changed in a timely manner or not at all, getting residents up late, not receiving their scheduled showers and not getting their medications on time. ED reported having difficulty hiring staff because of limited applicants. The preponderance of evidence has been met. Therefore, this allegation is substantiated. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties . Exit interview conducted. Appeal Rights and a copy of this report provided. Allegation: Staff is not responding to resident’s authorized representative in a timely manner Investigation Finding: UNSUBSTANTIATED Based on interviews and record reviews which were conducted, former ED and Director of Memory Care confirmed with LPA during visit that they have discussed R1’s issues with authorized representative on numerous occasions and denied not responding to her in a timely manner. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated. Allegation: Facility is not kept clean Investigation Finding: UNSUBSTANTIATED During investigation, LPA toured the facility with administrator including but not limited to the memory care and assisted living units, bathrooms, kitchen, dining, reception areas and outside patio. LPA observed facility to be in good repair. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated Allegation: Staff did not provide a safe environment Investigation Finding: UNSUBSTANTIATED LPA conducted a health & safety check on 02/10/21 and toured the facility with the administrator, including but not limited to bedrooms, kitchen, bathrooms and common areas. Residents in care appear to be safe and there were no imminent health or safety concerns during visit. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated Exit Interview conducted and a copy of this report provided to ED.