complaint·August 14, 2024

It was alleged that staff are restraining residents in care by use of bedrails. The complainant alleged that 3 (three) residents are restrained by bedrails. LPAs observed full bedrails on Resident 1 (R1)’s bed at 10:22AM, half-rails on Resident 2 (R2)’s bed at 10:33AM, and half-rails on Resident 3 (R3)’s bed at 10:35AM. R1 is not on hospice and does not have an order for full bedrails; R2 and R3 do not have physician’s orders for half-rails. LPAs did not observe bedrails on Resident 4 (R4)’s bed at the time of the visit. Based on LPAs’ observation and record review, the allegation “staff are restraining residents in care by use of bedrails” is deemed SUBSTANTIATED at this time. It was alleged that staff do not afford privacy to residents in care. The complainant alleged that the facility uses surveillance cameras in common areas where residents use personal computers and where meetings of resident and family groups occur. During physical plant tour, LPAs observed cameras throughout the common areas of the facility that are used for family visits and computer use. During administrator interview, it was confirmed at 12:01PM that the cameras have an auditory component and save short recordings with audio when movement is detected. Based on LPAs’ observation and interviews, the allegation “staff do not afford privacy to residents in care” is deemed SUBSTANTIATED at this time. The following deficiencies were observed (See LIC 9099-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Administrator was informed that failure to correct the deficiencies may result in civil penalties. It was alleged that resident is not afforded safe, healthful, and comfortable accommodations. The complainant alleged that R2 requests air conditioning in their bedroom, but the facility refuses to turn it on in order to save money. LPAs observed a cool temperature of 72 degrees Fahrenheit in the facility and R2’s bedroom. LPAs interviewed residents and found that residents are satisfied with the temperature of the facility. No issues or concerns were observed during resident interviews regarding comfortable accommodations. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation 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 above allegation “resident is not afforded safe, healthful, and comfortable accommodations” is deemed UNSUBSTANTIATED at this time. It was alleged that there are uncleared adults providing care and supervision to residents in the facility. All staff present at the facility during the time of the visit had fingerprint and background clearance and were associated to the facility. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation 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 above allegation “uncleared adults are providing care and supervision to residents” is deemed UNSUBSTANTIATED at this time.