Complaint·December 10, 2024

Allegation: Staff does not ensure client’s room is free of clutter. On 12/10/24, upon arrival to this facility, LPA Shirley toured facility for a health and safety check and also inspected R-1’s room and observed that there are numerous items in which R-1 stated that she is keeping for sentimental reasons. There are concerns that these items could easily eventually become a safety hazard. LPA observed that there are clear paths to the doors, windows, bathroom and kitchenette areas. LPA Shirley reviewed R-1’s Individual’s Service Plan and learned that she is a fall risk and upon review of requested Special Incident Reports noted that R-1 has not had any falls since her admission date of 3/5/24. During interviews and a review of the House Keeping Cleaning Room Assignments, LPA learned that the resident’s rooms are cleaned on a daily basis and are deep cleaned once a week per S-2. The removal of items collected in R-1’s room is a path to achieving a room free of clutter is a journey that R-1 does not have to take alone. Per S-1, staff offers to clean the items and assist with the organization of the items, and that the cleanup process doesn’t just deal with the clutter but the emotional state of the resident while also ensuring that the resident’s personal rights are not violated. LPA Shirley spoke with and interviewed staff 1 thru staff 10 (S-1 thru S-10). LPA ask, does staff ensure resident’s rooms are free of clutter? Of those interviewed, 10 out of 10 answered, yes. LPA Shirley interviewed residents 1 thru resident 10 (R-1 thru R-10). LPA ask, does staff ensure residents rooms are free of clutter. Of those interviewed, 9 out of 10 answered yes, and 1 resident did not know. Con'd on 9099-C Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff does not ensure clients room is free of clutter” therefore the allegation is unsubstantiated. No deficiencies issued during this visit. An exit interview was conducted with Administrative Assistant, Trish Morales and a copy of this report was provided.