complaint·November 4, 2021

Allegation: Food Services are Inadequate Investigation Finding: Substantiated Upon investigation, the Department was informed by the Licensee that food supplies are obtained every Monday; however, neutral witnesses who had visited the facility in an official capacity performed an evaluation on 12/16/20 (a Wednesday) and observed that there was an inadequate amount of fresh fruit and vegetables to meet the requirement of 2 days of perishable foods for the number of residents in care at that time. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies and/or 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: Resident’s toileting needs are not being met Investigation Finding: Unsubstantiated The Reporting Party asserted that R1 was not being assisted with her toileting needs. The Department found that the facility had failed to develop a required Appraisal Needs and Services report to ascertain the toileting needs that R1 may or may not have needed based upon her capability. Although it was not possible to determine whether R1 required toileting assistance that was not being provided, the facility is cited under a Case Management report dated 11/04/21. Allegation: Resident’s bathing needs are not being met Investigation Finding: Unsubstantiated The Reporting Party asserted that R1 was not being assisted with her bathing needs. The Department found that the facility had failed to develop a required Appraisal Needs and Services report to ascertain the bathing needs that R1 may or may not have needed based upon her capability. Although it was not possible to determine whether R1 required bathing assistance that was not being provided, the facility is cited under a Case Management report dated 11/04/21. Allegation: Untrained Staff Investigation Finding: Unsubstantiated The Department found that the staff that were scheduled during the subject time period had the records from an acceptable training organization reflecting the required subjects and hours required. However, per interview with staff, adequate competency and understanding of dementia care was not exhibited. Although the facility produced adequate records of staff training, the facility failed to ensure staff competency and is cited under a Case Management report dated 11/04/21 Allegation: Facility Kitchen Equipment is in Disrepair Investigation Finding: Unsubstantiated The Department found that the facility’s stove became inoperable and that the facility addressed the situation in a timely fashion. The Licensee contacted PG&E, who reported to the facility on 12/1/20 and disconnected the unit. Receipts illustrated that on the same day the facility purchased a new stove but that there was an installation delay due to the COVID pandemic; however, it was installed on 12/18/21. Neutral witnesses who had visited the facility on multiple occasions during the subject time period reported that they were aware of the status of the stove but observed that the facility had an alternate means of preparing hot food and the residents were provided with three meals per day. The neutral witnesses had no concerns regarding the meals provided. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are unsubstantiated. Exit Interview conducted and a copy of this report provided to Administrator. erns regarding the meals provided.