complaint·June 5, 2023

The investigation revealed the following: Allegation: Staff do not ensure hot water is available to residents. It is alleged that there is no hot water available in the resident’s bathroom sink. Administrator was interviewed at 10:35 am. Administrator indicated that the facility does not have an ongoing issue with hot water. She stated that the boiler was serviced and repaired in March 2023 and has been fixed since. Administrator also stated that she was not aware of any complaints from the residents, staff or family members about the facility not delivering hot water. Maintenance staff was telephonically interviewed and confirmed the hot water was serviced and there is no issues with hot water in the residents rooms. Facility staff were also interviewed, and they indicated that there were no issues with residents' hot water in their rooms. Between 11am-11:50am, LPA tested the hot water in (8) random residents’ rooms on the first and second floor and hot water temperature read between 112.8 deg F-118.3 deg F which is within the required 105 - 120 degrees. LPA interviewed residents between 12:00pm-12:45pm and none of the residents indicated there was an issue with the hot water. LPA also reviewed a copy of the receipt for water heater serviced on 3/16/2023. The receipt indicates that the water heater was cleaned and repaired. Based on observation, statements and interviews conducted with residents and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation. · Allegation: Staff do not maintain resident bathroom in clean and sanitary condition. It is alleged that a bathroom inside the resident’s room looks like the toilet has never been cleaned. Additionally, there’s human waste in the toilet and staff said they do not have a housekeeper right now for cleaning. Interviews conducted with staff members indicated that the residents’ rooms are cleaned daily. Administrator stated that the facility has housekeepers maintain overall cleanliness and orderliness of residents’ rooms. Interviews conducted with staff indicated that the housekeepers follow the daily schedule to thoroughly clean the residents’ rooms. Staff members denied the allegation and stated that they help each other and assist the housekeepers with cleaning if needed. At 2:30pm, LPA along with the Administrator checked (3) random residents rooms using an infrared thermometer to measure the residents room temperature. The room temperature measured between 74-78 degrees which is within Title 22 Regulations requirement. LPA observed the rooms to be in a comfortable temperature for residents. Interviews conducted with residents indicated that their rooms are cleaned daily, beddings/linens changed and they don’t have any issues or concerns. LPA observed staff conducting rounds, residents’ rooms, bathrooms, and toilets were clean and did not smell any odors that would indicate that clients urinate or vomit. Based on observation, statements and interviews conducted with residents and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation. · Allegation: Staff do not provide soap to resident. It is alleged that the facility does not provide soap for the resident to wash hands and resident has to buy own soap. Interviews conducted with staff members indicated that the facility provides soap, hand soap, toilet paper and other basic hygiene supplies to the residents. Staff members indicated that if residents run out of soap, or those who consume more than normal, residents can come to the office and the items will be provided to them at no extra charge. Interviews conducted with residents indicated that the facility provide soap although some residents prefer to buy their own soap. Residents interviewed also indicated that when the housekeepers clean their bathrooms, they replenish their toilet supplies including soap. Residents stated that they don’t have any issues with the basic hygiene supplies because it is available to them when they request it from the staff. LPA observed the presence of hand soaps and bar soaps in the residents’ bathrooms. LPA also observed sufficient basic hygiene supplies stored in the facility’s office. Staff interviews, resident interviews and LPA's observation do not corroborate this allegation. · Allegation: Staff allow residents to smoke in non-designated areas. It is alleged that residents are smoking cigarettes right outside the front door and as a result, the cigarette smoke comes inside the facility and the resident can smell it inside. Interviews conducted with staff members indicated that the facility has a designated smoking area which is located in the back patio. Staff members stated that residents who smoke are aware of the smoking area. Administrator denied the allegation and stated that the house rules indicated that smoking is not allowed in their rooms or other areas other than the designated smoking patio area. Interviews conducted with residents indicated that they are aware of the designated smoking area in the back of the facility. Residents interviewed did not see anyone smoking in the front door and they do not smell smoke inside their rooms. LPA did not observe residents smoking in the front door during the visit. LPA observed residents smoking in the back patio area (photos taken). Staff interviews, resident interviews and reviewed documentation do not corroborate this allegation. Based on observation, statements and interviews conducted with staff, residents, review of facility file records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was provided to the Administrator, Gemma Deoso.