Complaint·April 13, 2023

The investigation revealed the following: Allegation #1 : Facility staff did not safeguard residents’ personal belongings. On 04/12/2023 LPA Calderon interviewed R1 for complaint. R1 relays that R1 had purchased two packages and have them mailed to the facility. R1 relays that the front deck staff signed for the two packages and then lost one of R1 packages. R1 relays that the “green” mail card was signed by staff and R1 has proof. R1 does not know what happened to R1 package only that it was stolen or lost. On 04/12/2023 LPA Calderon interviewed S2 for complaint. S2 relays that S2 noted that a front desk employee had signed for the packages and R1 had shown S2 the “green” mail card with the staff signature. S2 relays that S2 asked front desk staff to follow up on the missing package, but no staff followed up and the package was lost and S2 did not follow up on the lost package. On 04/12/2023 LPA Calderon interviewed A1 for complaint. A1 relays A1 was not aware of the missing package and that the facility will replace the lost item or pay the R1 for the cost of the lost package. Based on LPA Calderon observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegations “facility staff did not safeguard residents’ personal belongings” is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 are being cited on the attached LIC 9099D. An exit interview was conducted and copy of the Complaint Report and Appeal Rights were provided to the Administrator Janie Acosta (A1). Allegation #1 : Facility staff did not safeguard residents’ medications. On 04/12/2023 LPA Jose Calderon interviewed A1 for complaint. A1 reported, R1 is administering medications independently as of 01/23. A1 relays that the facility Medication Administration Records, dated 09/22 to 01/23, support that R1’s medications were administered per physicians’ orders. A1 relays that A1 was not informed of R1 missing inhalers or medication. 04/12/2023 LPA Calderon interviewed R1 for complaint. R1 relays that when R1 moved into the facility 2 inhalers had gone missing. R1 relays that due to the two missing inhalers, R1 began storing and administering medication independently. Resident R1 reports, medications are now stored in a locked box supplied by the facility and has no issues with missing medication since 2022. On 04/12/2023 LPA Calderon interviewed S2-S4 for complaint. Staff S4 relays that R1 is storing and taking medications independently. Staff S4 trained R1 to administer medications independently. Staff S4 reports monitoring R1 to ensure R1’s medications are being taken daily. Staff S4 relays that the facility administered R1’s medications from 09/22-01/23 and records support that R1 was given medications needed. On 04/12/2023 LPA Calderon interviewed R2-R7 for complaint. R3 and R5 handle their own medications. R3 and R5 relay that they have not experienced staff mishandling their medications. Resident R2, R4, R6 and R7 relays that they have not experienced issues with missing or stolen medications. On 04/12/2023 LPA Calderon reviewed the Medication Administration Record (MAR) for R1 for 11/22-12/22. LPA Calderon found records indicate R1 received 2 inhalers. Allegation #2 : Facility staff do not provide a safe environment for residents in care. On 04/12/2023 LPA Calderon interviewed R1 for complaint. R1 relays that R1 does not feel safe living in this facility due to staff entering R1 room. R1 reports locking R1’s room door and “does not like staff coming and going” inside R1’s room. R1 reports residing in a shared room and has a roommate. On 04/12/2023 LPA Calderon interviewed A1 for complaint. A1 relays that A1 did not know that R1 did not feel safe with staff entering R1’s room. A1 relays that staff do provide assistance to R1’s roommate who is sight impaired. A1 relays that staff do secure R1’s room door when they exit. On 04/12/2023 LPA Calderon interviewed S2-S4 for complaint. S2-S4 reported that staff enter R1’s room to clean and to provide assistance to R1’s roommate. S2-S4 relays that when exiting R1’s room R1’s door is secured. On 04/12/2023 LPA Calderon interviewed R2-R7 for complaint. R2-R7 reported they feel safe living in the facility and expressed no issues or concerns with staff. Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has NOT been met; therefore, the allegations of “Facility staff did not safeguard residents’ medications” “Facility staff do not provide a safe environment for resident in care “is found to be UNSUBSTANTIATED. An exit interview was conducted and copy of the Complaint Report was provided to the Administrator Janie Acosta (A1).