complaint·April 28, 2022

On 4/8/2022, the complaint was reassigned to LPA Jeremiah Randle. On 4/25/2022 Licensing Program Analyst (LPA) Jeremiah Randle made an unannounced follow-up visit to the facility noted above and met with Mildred Pascual, Resident Services Director (RSD). LPA explained the reason of the visit to RSD, who assisted with the visit. The investigation consisted of the following: Interviews of staff from Staff# 2 and staff #7. Resident #1 (R1) file review was conducted. LPA obtained a copy of resident roster, staff roster, R1's Identification and Emergency information, R1’s Residency Agreement, fee schedule, credit addendum, staff notes, Dr’s notes and copy of Conservatorship Documents. The Investigation Revealed the Following: Facility not allowing family member to assist resident with moving On August 19 th 2020 LPA Tao spoke with R1, during the interview R1 stated an ambulance came to pick her up and R1 did not go with the ambulance, R1 stated that the ambulance was called by her brother R1 declined to leave and stated R1 wanted to go home with her husband, R1 did not call her brother and asked to leave. R1 also stated R1 had no concerns or complaints about staying at the facility. After the interview, the administrator stated, R1 husband died last year. R1 has dementia. LPA Tao interviewed S1, S1 stated he did not give R1 a 30 day notice but R1 responsible party gave a 30- day notice to quit 8/13/2020. S1 stated when R1 responsible party sent the ambulance to pick-up R1 to move R1 the resident refused and S1 cannot force residents. R1 also refused to go when responsible party came to pick R1 up and relocate her to another facility. S1 reported the incidents to CCL and ombudsman. Facility is obstructing resident from receiving medical care. On 4/25/2022 LPA Jeremiah Randle Interviewed S2 and S7. S2 provide LPA with resident notes dated 8/24/2020 that were entered by S2. The notes revealed that R1’s Responsible party called the facility and stated that R1 had a medical emergency and needed to be sent to the emergency room to be seen. S2 checked on R1 there were no visible signs or symptoms of acute distress R1 was asked if she wanted to go to the hospital to be seen R1 refused and stated R1 felt fine and wanted to be left alone. On 8/25/2020 R1 was seen by the primary care physician’s nurse practitioner which performed a weekly visit no new orders were given at that time based on review of the resident notes. On 8/27/2020 resident sustained a fall R1’s nurse practitioner was notified and instructed that the resident needed to be sent to the hospital for further evaluation R1 was sent to the hospital for treatment. On 8/28 / 2020 resident was discharged from the hospital after fall and taken to a different facility per conservator’s decision. On 8/28/2020 conservator received R1’s medication and belonging. LPA Randle interviewed S7, who provided copies of the employee roster, resident room roster, R1’s residency agreement, and notice to quit from R1’s conservator. On 4/25/2022, LPA Randle interviewed R1-R4, all residents denied the allegation. Based on LPA’s observations and interviews which were conducted, and facility records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be Unsubstantiated . Exit interview was conducted with Mildred Pascual RSD, and a copy of this report was provided.