complaint·June 5, 2024

Allegation: Staff is not allowing visitation It was reported that staff interferes with the resident’s visitation. Per Section XV Family Visits, in the facility’s Admission Agreement, it states that Management encourages family and friends to visit, subject to the Community Rules and Regulations. During Interviews with S1, LPA learned that visitors are not allowed in the resident’s rooms if resident has an assigned roommate. It is being reported that planned visitors are being turned away. During interview with S1, LPA Shirley learned that specific visitors can visit at the front door or on the facility’s patio. Per S2, visits are scheduled for family members but sometimes they do not show up. On prior visits to this facility, it's been LPA's experience that R1 does not like to be bothered or want to talk when they are in their room. LPA interviewed staff S1-S9, LPA ask, does this facility have anyone that is not allowed to visit. Of those interviewed, 7 out of 9 answered no. LPA interviewed residents R1 – R9, LPA Does this facility allow your visitors to visit. 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 allegation is Unsubstantiated . Con'd on 9099-C Allegation: Resident has unexplained bruises During a visit a bruise was observed on R1's wrist. On 4/11/24, LPA observed a big bluish black bruise on R-1’s left wrist. LPA ask staff what happened to R1. Staff had no idea that R1 had a bruise. LPA instructed staff to fill out and submit an incident report. LPA Shirley spoke with the Director and ask about the bruise, as it should’ve been observed and reported by staff. The Director provided progress notes stating that R-1 sometimes refuses assistance with getting dressed and showers. On 5/23/24, LPA spoke to R1 and observed that their wrist was completely healed. LPA Shirley interviewed staff -1 – Staff - 9 (S1-S9). LPA ask, does staff report bruises upon observation, and of those interviewed, 9 out of 9 answered yes. LPA Shirley interviewed residents -1- resident- 9 (R1-R9). LPA ask, have you had any bruises that you didn’t know how it happened. Out of those interviewed, 8 out of 9 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 allegation is Unsubstantiated . An exit interview was conducted and a copy of the LIC 9099 was provided to Business Office Manager, Christina Novoa.