complaint·July 9, 2021

Invoices for food produce and hygiene supplies delivered for the month of June. The investigation revealed the following: Regarding allegations: Residents are not assisted with incontinence care. It is alleged that facility does not have sufficient diapers or wipes and that due to the diaper and wipe issue, residents are getting "skin problems." During the facility's tour LPAs observed room #210 which contained personal protective equipment (PPE) and boxes of diapers, room #245, storage A, and B, and outside storage containing boxes of diapers in size S, M, L, XL and boxes of wipes were observed in storage A. During interviews with residents 5 out of 10 residents stated to not need assistance with using the toilet and/or do not wear a diaper. 2 out of 10 residents are assisted with going to the toilet and/or with diaper. 3 out of 10 residents were unable to be interview due to cognitive skills. During interviews with 4 staff out of 7 staff stated to assist residents with incontinence care every 2 hours or as needed and to have sufficient diapers and wipes to assist the residents. 1 staff out of 7 staff stated that when staff run out of diapers there are only small diapers and use small diapers with all residents. 2 out of 7 were not familiar with incontinence care. Administrator stated facility maintains 2 months worth of supplies. Documents reviewed showed that 8 out of 12 residents need assistance with toileting care and 4 out of 12 do not need assistance for toileting. Based on LPA's observation, interviews, and document reviews conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found Unsubstantiated. Regarding allegations: Licensee did not ensure residents receive adequate daily food intake. It is alleged staff can not take the time needed to sit and spoon feed residents their entire meals. During facility's tour LPA observed sufficient food for 2 days of perishables and 7 days of non-perishables; such as vegetables, fruits, dry goods, meats. LPAs reviewed 4 facility's menus for the month of June which have a variety of meals for each week and a total of 9 invoices for food produce for the period of 6/21/21 to 7/7/21. During interviews with residents 5 out of 10 residents stated to eat independently. 5 out of 10 residents were unable to be interview due to cognitive skills. During interviews with staff, 4 out of 7 staff stated staff are able to assist residents with meals and residents eat as much as they need, 2 out of 7 staff stated to see at least 50% of the food had been eating from residents that eat puree meals or need assistance eating. 1 out 7 staff stated not to have sufficient time to assist residents with feeding. Documents reviewed revealed 8 out of 12 residents do not need assistance with feeding and 4 out of 12 need assistance with feeding. Based on LPA's observation, interviews, documents reviews conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found Unsubstantiated Regarding allegations: Licensee did not provide adequate hygiene supplies. It is alleged that residents that need large size diapers are wearing small size diapers due to no diaper or wipes being available at the facility. During the facility's tour LPAs observed room #210 which contained personal protective equipment (PPE) and boxes of diapers, room #245, storage A, and B, and outside storage containing boxes of diapers in size S, M, L, XL and boxes of wipes were observed in storage A. LPAs reviewed a total of 8 invoices for hygiene supplies orders between 5/6/21 and 7/1/21. During interviews with 4 staff out of 7 staff stated to assist residents with incontinence care every 2 hours or as needed and to have sufficient diapers and wipes to assist the residents and to have different sizes available. 1 staff out of 7 staff stated that when staff run out of diapers there are only small diapers and use small diapers with all residents. 2 out of 7 were not familiar with incontinence care. Administrator stated facility maintains 2 months worth of supplies. Documents reviewed showed that 8 out of 12 residents need assistance with toileting care and 4 out of 12 do not need assistance for toileting. Based on LPA's observation, interviews, and document reviews conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found Unsubstantiated. Exit interview was conducted with Virginia Garcia administrator and a copy of the report was provided.