complaint·July 21, 2021

Allegation#2 " Facility staff did not assist residents with hygiene needs" LPA interviewed 5 residents and they stated that they assisted them with showering and all other hygiene needs. All staff take good care of them. LPAs also observed the resident dress appropriate with clean and nice clothes , hair got brushed, no bad odor and all nails got trimmed. All residents in the facility are able to maintain cleanliness and good hygiene. Allegation#3 " Facility staff did not assist residents with making doctor appointment" LPA interviewed residents and the staff are always on top of it. LPA interviewed staff and they reported residents usually sees their doctor regularly. Staff also stated that if something emergency and they will send resident to urgent care or emergency room immediately. LPA also reviewed residents' file and they all have an updated physician report. They all had a lab test between February and April, 2021. They also had monthly visit with psychiatrist through video chat. In addition, all residents also had a recent dental appointment on May, 2021. Allegation#4 " Facility staff do not ensure that residents have an adequate amount of clothing. LPA interviewed all residents and they reported that they all have enough clothes. LPAs also observed all five residents closet and they all have sufficient amount of clothing which included different weather clothing. Staff also reported they will assist residents with shopping during this pandemic. Allegation#5 " Facility staff are not ensuring that there is an adequate amount of food in the facility." LPA interviewed all residents and all reported that they do have well enough amount of food for each meal. Staff also denied the allegation and reported they always provide variety of food option to resident. They would provide substitute choice if resident does not like the food on the menu. LPA also toured the kitchen, and observed the refrigerator and storage for food supply and they have the supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Allegation#6 " Facility is not clean." LPA interviewed resident and reported the facility is always clean. LPAs toured the facility and observed the facility is clean, with no smell and all the appliances looks working and functioning properly. While LPA observed residents' nursing recommendation and recommended R1 with special diet which include low fat diet, NAS (No Added Salt) due to high cholosterol, R2 with low sodium, healthy and 1800 calories diet. R3 with low sodium, 1800 calories diet due to hypertension. R4 with low sodium , healthy and 1800 calories diet due to hypertension. On today's lunch, the bologna contains a lot of sodium and fat as well as some preservatives. Based on the record review and LPA's observation, therefore, the allegation is substantiated. The following deficiency was cited per California Code of Regulations, Title 22. Refer to 9099D. Exit interview conducted. A copy of the report and appeal rights were discussed and provided to the House Manager Nick Baze Allegation#7 " Facility staff restrained resident." LPA interviewed residents and all denied staff restrained them. LPA interviewed staff and denied the allegation and reported they never tired resident with blanket while the resident on the wheelchair. LPA reviewed R5's file and observed R5's doctor recently prescribed the gait belt and used around the wheelchair for safety issues but staff stated that they are only planning to use the gait belt for transporting in an out from the car to the doctor appointment. Staff did not restrain resident. Based on the interviews were conducted and LPA's observation, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted and the copy of the report and appeal right was provided to Administrator-Carrie Dorbrenen.