Complaint·February 14, 2025

The investigation revealed the following: Regarding the allegation “staff does not administer residents medication as prescribed”, it is being alleged that staff administers residents’ medication 2 hours after prescribed scheduled time. Interviews conducted revealed the following: 7 out of 7 residents denied the allegation and 5 out of 5 staff denied the allegation. Records reviewed of MARs do not indicate that medications were provided after prescribed scheduled time. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. Regarding the allegation “staff does not maintain residents hygiene”, it is being alleged that residents hygiene is not being maintained. Records reviewed of Facility Shower Schedule revealed the following: the facility has a shower schedule for residents in care. Interviews conducted revealed the following: 7 out of 7 residents denied the allegation and 5 out of 5 staff denied the allegation. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. Regarding the allegation “staff left resident soiled in urine and feces”, it is being alleged that residents are left in soiled diapers for long periods of time. Interviews conducted revealed the following: 7 out of 7 residents denied the allegation and 4 out of 5 staff denied the allegation. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. Regarding the allegation “Staff did not provide medical attention to resident after fall”, it is being alleged that after resident(s) fell staff did not provide medical attention. Interviews conducted revealed the following: 7 out of 7 residents denied the allegation and 5 out of 5 staff denied the allegation. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. Regarding the allegation “Staff does not ensure resident has running water”, it is being alleged that staff is aware that resident(s) do not have running water in their apartment(s) and the facility has done nothing to fix the problem. Interviews conducted revealed the following: 7 out of 7 residents denied the allegation and 5 out of 5 staff denied the allegation. Observations revealed the following: 7 out of 7 resident apartments had running water. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left with the Executive Director/Administrator, Chanel Sanchez. The investigation revealed the following: Regarding the allegation “staff does not keep facility free of pests”, it is being alleged that the facility has vermin. Observations revealed the following: a live vermin (cockroach) was observed in the kitchen area as well ad dead vermin. Pest control records for the year of 2024 revealed the following: pest control comes to the facility at least once a month or more and provides services; pest control also provides recommendations in each visit and indicates if it is pending or completed as well as states the severity of the recommendation; pest control record dated 12/2/2024 has recommendations dating back to 4/5/2023 and under General Comments it states “Cockroach activity has worsened in kitchen”. Regarding the allegation “staff does not keep facility free of pests”, the preponderance of the evidence standard has been met therefore the allegation is substantiated. Deficiencies cited based on observation and record review in accordance with the California Code of Regulations, Title 22. An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with the Executive Director/Administrator, Chanel Sanchez.