complaint·April 19, 2021

would always complain when staff would check on them at night. Staff also said resident #1 would tell them not to check on them as they are independent, doesn't need any help and by staff checking on them, made it hard for them to get back to sleep. Administrator Amalia Esquivias informed the LPA that the night staff conducts round checks every two hours and also provide incontinence care for residents who may require it. Administrator Esquivias said that there are a few residents who request for the staff to leave them alone during the night as they do not wish to be disturbed and resident #1 did not want to be checked on at night, so staff obeyed their wishes as they've complained that they can never go back to sleep when the staff comes to check on them. Staff #2 said on 11/28/19 resident #1 left the facility to join their close friend for a Thanksgiving celebration, and upon their arrival back to the facility during the night hours, they prepared for bed. On the morning of 11/29/19 at around 7:30 am staff #2 said they were completing their rounds to get the residents prepared to attend breakfast and noticed that resident #1 was not there as they see them every morning. Staff #2 knocked on resident #1's door, and when they entered into the room, they observed that resident #1 was on the floor. Resident #1 thanked staff #2 for coming and the staff observed that resident #1 had slurred speech, 911 was called and the resident was transported to the hospital. LPA interviewed a random selection of residents who said that the staff provided adequate supervision and it they require medical attention, they receive it in a timely manner. Assistant Administrator Francisca Vallejo was interviewed and said that resident #1 was one of the residents who complained about being disturbed during the night resident #1 and was not successful as they were not present in the facility. Investigation revealed the following: Based on interviews conducted and observations made there was insufficient evidence to prove the allegation: " Facility staff failed to provide adequate supervision resulting in resident being hospitalized ". Although the allegation(s) 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. A telephonic exit interview was conducted with Administrator Amalia Esquivias , and a hard copy was provided via email to obtain signature.