complaint·April 11, 2024

Allegation: Facility staff stole ID from resident It was reported that the resident’s Identification Card was stolen by the staff. During file review, LPA did not observe copies of an Identification card upon admission. LPA observed that Personal Property and Valuables page has one item recently listed but does not include an ID card. There are no incident reports reporting stolen ID’s. Staff S2 stated that R1 arrived with nothing besides the clothes they were wearing. LPA interviewed staff 1 through Staff 9, (S1-S9). LPA ask, “Did staff steal ID card from resident.” Of those interviewed, 9 out of 9 stated No. LPA interviewed resident 1 through resident 9, (R1-R9) LPA ask, Has staff stolen your ID card. Of those interviewed, 8 out of 8 answered no. 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 allegations are Unsubstantiated . Allegation: Facility is not ensuring resident goes to medical appointments It is being reported that this facility is not ensuring that resident goes to all medical appointments. On 4/11/24, upon R1’s file review, LPA Shirley observed 9 monthly 30 min assessments, a copy of a podiatry appointment which was refused by R1. On 4/11/24, LPA Shirley interviewed staff 1 through staff 9(S1-S9). LPA asked staff, is facility staff ensuring that residents go to medical appointments. Of those interviewed, 8 out of 9 answered yes. LPA Shirley interviewed resident 1 – resident 9 (R1-R9). LPA ask residents, are you allowed to see the doctor or attend medical appointments, 8 out of 9 answered, yes. 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 allegations are Unsubstantiated . Allegation: Facility is not administering medications as ordered by doctor It was reported that staff is not administering medications as instructed by doctor. During file review, LPA Shirley observed copies of the MAR for R1 which records last date of medication administered was 6/7/23. S3 stated that R1 does allow appointment for in-house doctor assessments but refuses to go to the doctor to have prescription updated and filled. R1 is out of medication as of 4/11/24. LPA interviewed staff 1 through Staff 9, (S1-S9). LPA ask, is medication being administered as ordered by the doctor. Of those interviewed, 8 out of 9 stated yes. LPA interviewed resident 1 through resident 9, (R1-R9) LPA ask, are you receiving your medications as ordered by the doctor. Of those interviewed, 6 out of 9 answered, yes. 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 allegations are Unsubstantiated . Cond'd on 9099-C Allegation: Facility is not allowing resident to communicate with family members It was reported that staff is not allowing phone calls from one specific family member. When LPA arrived at this facility, LPA Shirley observed R1 at the front desk talking on the phone. When R1 was done with their phone call, LPA approached R1 and advised them that I am here to investigate a complaint and if I could ask them a couple of questions regarding this complaint. R1 answered yes. LPA ask R1 who were they speaking to on the phone. R1 answered that they were talking to their family member that they speak to every morning. LPA interviewed staff 1 through Staff 9, (S1-S9). LPA ask, does staff not allow residents to communicate with family members. Of those interviewed, 6 out of 9 stated yes residents are allowed to communicate with family members. LPA interviewed resident 1 through resident 9, (R1-R9) LPA ask, are you allowed to communicate with your family members. Of those interviewed, 9 out of 9 answered, yes. 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 allegations are Unsubstantiated . Based on information gathered, the department did not find sufficient evidence to support these allegations, therefore these allegations are Unsubstantiated. An exit interview was conducted and a copy of the LIC 9099 was provided to Director, Susie Fuentes.