complaint·June 14, 2022

LPAs also observed all residents are clean and dress appropriately and have no long fingernails. Based on the evidence, interviews conducted and the finding is UNSUBSTANTIATED. Allegation#2 " Staff did not effectively communicate with resident's family." LPA interviewed residents and they all denied the allegation and reported staff are very good at communicating wth their families. They always notified their families if there's any change of health condition. The director of Social Work also reported it is their protocol to notify the family if anything happened to the residents including any health condition got changed or fall or hospitalized. They have to report it to the resident family immediately. Based on the evidence, interviews conducted and the finding is UNSUBSTANTIATED. Allegation#3 " Facility lacked sufficient staff to meet resident's needs." LPA interviewed residents and all denied the allegation and reported there are always sufficient staffing in the facility even during the Covid peak time. The staff are always available there to help them. The staff never delayed their assistance for help. LPA interviewed staff and reported they have about five registry contract during the COVID and they still used the registry at the present time. They were never lacking of staff. Also there were no resident ever complained lacking of staff in the facility. Based on the evidence, interviews conducted and the finding is UNSUBSTANTIATED. Based on the interviews conducted with staff and residents, record review and LPA's observation, Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the complaint investigation of the allegations are all UNSUBSTANTIATED. An Exit Interview was conducted. The copy of the report and appeal right were provided to CEO Matthew Naelley The staff reported the medication was ordered since June 12, 2022 and the pharmacy should be delivered today. In addition, LPA also reviewed R1's medication record from the computer system and indicated that R1 was not taken the medication of Quetiapine from June 5th to June 11th and there's no notes documented why R1 was not taking the medication. The computer system indicated that R1 did not receive her dosage until June 12, 2012. Staff was not sure if R1 refused or R1 did not eat the food as the medication needs to be crushed in the food. CEO Matthew also reported the new computer medication system was just installed recently and staff may need more training. Based on the evidence, interviews conducted and documents provided the finding is SUBSTANTIATED. Based on LPA’s observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report was provided to the CEO Matthew Neeley along with the Appeals Rights.