complaint·June 23, 2022

Activities Calendar (December 2020), L.A. Co. DPH Activity Protocol, Facility’s Activity Plan for Christmas special event, and Dietary Protocol. Resident #1 (R1) Admission Agreement, Physician's Report, Identification and Emergency information, Care Plan, House Rules, Alternative Meal Delivery Procedure, Menus (November 29, 2020 - January 2, 2021), and Activities Calendar (December 2020). Resident #1’s Admission Agreement, Physician's Report, Identification and Emergency information, Resident’s Care Plan, Appraisal/Needs and Services Plan, Resident Assessment (06/02/20), Narrative Charting (05/04/20, 06/02/20, 06/03/20, 06/04/20, 06/05/20, 07/18/20), Individual Service Plan (IPP) Initial Assessment (06/02/20), and Assessment Plan. Resident #2’s Identification and Emergency information, Physician's Report, Appraisal/Needs and Services Plan. Regarding Allegation #1 : this investigation revealed that Resident#2 is wheelchair bound. Facility staff assists the resident with its ADLs whenever the resident needs care. A caregiver is assigned to the hallway for the resident. Facility Staff would assist Resident #2 to bathe, get dressed, assist in placing the resident in its chair, bring the resident food, conduct room checks, wash/dry/fold laundry, and administer its medications. A review of Resident #2’s Physician’s Report (dated 09/28/21) documented that the resident the resident requires assistance with its activities of daily living. The majority of interviews conducted with residents, corroborated that they have not observed facility not assisting residents with ADLs. Based on the evidence gathered and interviews conducted and records reviewed, 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 of NEGLECT/LACK OF CARE: Facility not assisting resident with ADLs is found to be UNSUBSTANTIATED. Regarding Allegation #2 : this investigation revealed that the majority of the residents interviewed, corroborated that he/she do not recall having had a missed tray service delivered to his/her room when the dining room was shut down for communal dining. The majority of staff interviewed, corroborated that they did not receive complaints from residents regarding a meal not being served during the situation surrounding Coronavirus. A virtual tour of the facility’s physical plant included the kitchen, dining area, and food pantry that were in compliance. Based on the evidence gathered and interviews conducted and records reviewed, 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 of PERSONAL RIGHTS: Facility did not provide lunch to residents is found to be UNSUBSTANTIATED. Regarding Allegation #3 : this investigation revealed that the majority of residents interviewed, corroborated that their meal delivery was being served in “to-go” style (Styrofoam containers with plastic utensils, cups,and paper napkins) to ensure food reaches the residents as hot as possible during the situation surrounding the Coronavirus when the dining room was shut down for communal dining. The majority of staff interviewed, corroborated that they did not receive complaints from residents regarding his/her food being served cold. A review of the facility’s menus were in compliance with food service; and, a virtual tour of the facility’s physical plant included the kitchen, dining area, food supply was in compliance. Based on the evidence gathered and interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur; therefore, the allegation of FOOD SERVICE: Food served to residents is cold is found to be UNSUBSTANTIATED. An exit interview has been conducted and a copy of the Complaint Report was provided to Administrator (Pamela Parsons).