complaint·April 16, 2022

(continued from LIC 9099) Further record review of R1's Personal Service Plan (PSP) dated 06/15/18 and 12/15/18 signed by R1's Power of Attorney (POA) also revealed that R1 did not need bathroom assistance. Additionally, then LPA Gillyard's record review on 01/15/2020 revealed that R1 refused assistance from care staff numerous times during R1's stay at the facility. Then LPA Gillyard's interview with one (1) staff on 04/24/19, LPA Mita Amin's interview with two (2) staff on 01/15/20 and LPA Tan's interview with three (3) staff on 04/07/22 between 11:00 AM to 1:00 PM confirmed that R1 refused to be assisted at times, be it dressing, changing diapers, showering and/or housekeeping. Further, all of six (6) staff interviewed also revealed that they consistently check on R1 every two (2) hours as directed and change R1's diapers regularly and as needed but unable to do so when R1 refused but always try to come back in thirty (30) minutes or less after R1's initial refusal but was still refused most of the time. Regarding the allegation that due to neglect, resident sustained infection requiring hospitalization. It was alleged that R1 was hospitalized due to infection on 03/04/19 due to staff neglect. LPA's record review today at around 9:30 AM revealed that two (2) weeks prior to hospitalization of R1, there was no indication that R1 was being neglected by any staff but rather being closely monitored by all the staff and every changes or incident regarding R1 was reported to R1's family member such as behavioral episodes against another resident on 03/03/19 and 02/27/19 and Staff also reported about any changes in R1's medical condition such as having an eye condition to R1's family member on 02/27/19 at 2:06 PM. Based on the information gathered during the course of the investigation, there is insufficient information to support the allegations and therefore deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.