complaint·March 25, 2022

Investigation revealed the following: The complaint alleges that a mat/rug was in disrepair. According to the complainant, there is a rubber floor mat with curled up edges located in front of the glass doors that exit to the garden. It is next to the vending machine. During the physical plant walkthrough, LPA Nwaokoro observed the mat that was in disrepair. The mat had curled up edges that could possibly be a tripping hazard. LPA Nwaokoro took a picture of the mat. During the investigation with maintenance manager, he informs LPA that he overhead our discussion with the administrator and had to remove the mat from in front of the glass doors that exit to the garden. Before existing the facility, LPA observed the mat was removed. Staff 1 -7 (S1 – S7) were interviewed and revealed the following: S1 stated that when S1 is notified about a maintenance need S1 logs it in the book and notifies maintenance. S1 stated they were notified by R1 of the mat. S1, S2, S5, and S7 stated they were not aware of any falls regarding a mat. S2 – S7 stated that maintenance is responsive to the needs of the facility. S3 was not aware of the disrepair mat but when S3 saw the LPAs in the facility they inquired about the purpose of their visit and was informed it was about a mat; S3 removed the mat. S5 stated that they have seen the mat used as a doorstopper. S4, S5, and S7 did not see the disrepair mat. S6 stated that the med cart got caught on it once but did not report it to management. Residents 1 – 7 (R1 – R7) were interviewed and revealed the following: R1 stated that the facility is not responsive to maintenance. R1 reported the disrepair mat to S1 in February 2022. S1 stated they will tell maintenance. When R1 noticed nothing was done R1 reported it to Licensing. However, on 3/22/2022 R1 realized the mat was removed. R5 thinks the facility is responsive. R6 stated that they do not pay attention the things going on in the facility. When asked if they noticed the mat in disrepair R2 was not able to answer, and R4 stated they mind their own business. R7 did not see a disrepair mat. When asked if they like the facility R3 said they like the facility and wanted to leave and play a game. R6 does not like the facility, and R7 is not satisfied with the facility. R7 stated that the staff talk about residents in the hallway. The administrator prefers some residents over others. Based on LPA observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. An exit interview was conducted with Susana Fuentes, Administrator and a hard copy of a LIC 9099 and LIC 9099D was provided