complaint·May 22, 2025

Investigation consisted of the following: On 5/22/2025, a facility tour was conducted, interviews were conducted, and records were reviewed. The facility tour consisted of R1’s bedroom and garage. Interviews conducted consisted of 3 staff interviews [Staff 1 (S1) to Staff 3 (S3) were interviewed] and 1 resident interview [Resident 1 (R1) was interviewed]. Resident 1’s records were reviewed which consisted of Admission Agreement dated 5/5/2025, Physicians Report dated 5/5/2025, Safeguards for Property Valuables dated 5/5/2025, and other pertinent documents. Facility records were also reviewed such as Register of Facility Residents dated May 2025 and Personnel Report dated 5/22/2025. Investigation revealed the following: Allegation: “Staff does not assist resident with toileting”, it is being alleged that the facility does not assist R1 with their toileting needs. Interviews conducted with R1 reveled the following: 1 out 1 resident denied the allegation. Interviews conducted with S1 to S3 revealed the following: 3 out 3 staff denied the allegation. Based on the department’s interviews this allegation is unsubstantiated. 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. Allegation: “Staff withholding resident's personal belongings”, it is being alleged that the facility is withholding R1’s personal belongings. Interviews conducted with R1 reveled the following: 1 out 1 resident denied the allegation. Interviews conducted with S1 to S3 revealed the following: 3 out 3 staff denied the allegation. Resident 1’s records reviewed revealed the following: Safeguards for Property Valuables (SPV) was signed by R1 and dated 5/5/2025, moreover, the department observed that the property valuables were stored in the garage as stated on the SPV. Based on the department’s interviews and records reviewed this allegation is unsubstantiated. 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. Allegation: “Staff are not meeting resident's dietary needs”, it is being alleged that the facility does not meet the dietary needs (special diet) of R1. Interviews conducted with R1 revealed the following: 1 out 1 resident agreed with allegation, but R1 also explains that the staff tries to provide them with the food they would like to eat. Interviews conducted with S1 to S3 revealed the following: 3 out 3 staff denied the allegation. Resident 1’s records reviewed revealed the following: Physicians Report signed and dated 4/1/2025 does not state that R1 has a special diet. Based on the department’s interviews and records reviewed this allegation is unsubstantiated. 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. Allegation: “Staff do not communicate effectively with resident”, it is being alleged that R1 does not understand staff when they speak to them. Interviews conducted with R1 revealed the following: 1 out 1 resident agreed with allegation, but R1 also explains that staff attempts to speak to them in a slow manner and that is when R1 is able to understand staff. Interviews conducted with S1 to S3 revealed the following: 3 out 3 staff denied the allegation. Observations of interviews conducted with staff revealed the following: the department interviewed staff in English and staff answered questions in English, additionally, the department was able to understand staffs’ answers. Based on the department’s interviews and records reviewed this allegation is unsubstantiated. 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. No deficiencies were cited. An exit interview was conducted, and a copy of this report was left with the Licensee/Administrator, Yolanda Bernardo.