complaint·June 6, 2022

The investigation revealed the following: Regarding allegation: Staff is unable to provide appropriate care and supervision to a resident. It is alleged R1 suffers from Dementia and Alzheimer's and renders at facility which is unable to effectively house and care for resident. Interviews with residents revealed 4 out of 5 residents stated to be assisted with care as needed and staff assists resident with reaching out to the physician when needed. LPA was unable to interview R1 due to R1 being at the hospital at the time of the visit. Interviews with staff revealed 3 out of 3 staff interview stated R1 had some behaviors and facility seek medical care upon staff observing behaviors, staff also stated to receive annual training on dementia care. Documents reviewed for R1 revealed R1 was admitted to the facility on 9/29/21, R1's last physician's report was conducted on 7/26/21 and diagnose correlates with diagnosis mention in the allegation. Incident report dated 11/19/21 notes facility contacted paramedics on 11/16/21 to request medical care for R1 due to behaviors, however resident was not transported. On 11/17/21 Per primary physician's request administrator reached out to San Gabriel Medical Center Psychiatric Emergency Team (PET), who came to the facility and evaluated R1 and provided assistance with transferring R1 to receive proper care. Facility's plan of operation has a Dementia Special Care amendment in place, Admission's Agreement dated 9/19/21 provides information regarding Advertising Dementia Special Care Provisions. Staff training was reviewed and facility provided 8 hours of dementia training on 2/13/21. On 11/19/21 LPA Flores conducted a tour of the facility and observed facility follows dementia physical plant requirements according to Title 22 regulations. 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. Exit interview was conducted with Ana Costa caregiver and a copy of this report was email to administrator.