complaint·April 18, 2025

all medications observed were labeled as required. No discrepancies were observed during the medication review. One resident (Resident #1 - R1) is able to store and administer their own prescription, over the counter and PRN (as needed) medications. Some of R1's medications were centrally stored and others were stored in R1's room. Residents and staff interviewed indicated medications are administered as prescribed. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time. No citations issued related to the above allegation. Exit interview conducted. A copy of today's report was provided. The complaint alleges that when residents request assistance, staff do not respond timely. Interviews with residents revealed that particularly during the night, staff do not respond to calls for assistance. Interview with Administrator revealed that the facility has 2 (two) care staff present from 07:00 or 08:00AM until 06:00PM. Between the hours of 06:00PM to 07:00 or 08:00AM, there is 1 (one) awake staff present at the facility. Personnel Report indicates 1 (one) awake staff scheduled from 07:00PM to 07:00AM 7 (seven) days a week. Staff and resident interviews revealed that during the night shift, staff take naps and are therefore not available to assist residents in meeting their needs. Most residents interviewed stated they have bells to use to request staff assistance, while other residents stated they just yell when requesting assistance. Residents reported slipping down from their bed and requesting assistance with medications during the night shift and staff did not respond. Staff interviewed indicated they do try to respond as quickly as possible when residents request assistance, but at times, they are busy assisting another resident and cannot respond timely. Based on interviews, the preponderance of evidence standard has been met, therefore the allegation is deemed SUBSTANTIATED at this time. Allegation: "Facility staff do not ensure facility is maintained sanitary:" During today's visit, LPAs and IB Investigator observed dirty/dusty vents throughout the facility, mold in the grout in the facility's common shower, sticky floor in the shared resident restroom, and dirt and mold were observed in the facility kitchen, both on the floor and around the kitchen sink. Although facility staff interviewed indicated there is a regular cleaning schedule, with cleaning tasks assigned daily, every other day or weekly, LPAs did not observe a cleaning log or any documentation of cleaning tasks completed. Additionally, LPAs and Investigator observed the lock on the knife drawer in the kitchen was broken and unable to be used. There were also broken toilet parts observed in the common facility restroom. Based on observation, the preponderance of evidence standard has been met, therefore the allegation is deemed SUBSTANTIATED at this time. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies are cited (refer to LIC9099-D). Exit interview conducted, appeal rights discussed, and a copy of this report was provided.