complaint·May 16, 2024

relevant to the investigation. At approximately 11:15am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected and physical plant is in compliance with Title 22 Regulations. LPA also conducted an interview with the Administrator, Resident Care Director, Wellness Coordinator, Maintenance Director, 11 out of 11 residents and reviewed facility records. Allegation: Staff not safeguarding residents belonging. It is alleged that on 11/27/2021 R1's family member could not find the soaps and tissues that were bought for R1 the week prior. To investigate this allegation, on 06/30/22, LPA conducted an interview with the Administrator, Resident Care Director and Wellness Coordinator. All parties interviewed confirmed that R1 would occasionally receive hygiene supplies, however, it was enough to last one week. An interview conducted with the Resident Care Director also revealed that no staff have lost, stolen or misplaced any of R1’s items. Administrator stated that staff would assist R1 with storing their hygiene supplies, and R1 would often state that their supplies would go missing. However, Administrator does not believe any staff have stolen any of R1’s items. Moreover, LPA conducted an interview 11 out of 11 residents. Ten (10) out of eleven residents, expressed no concerns regarding the above allegation and have not had any hygiene supplies missing/stolen. Based on interviews and LPA observation this allegation is deemed Unsubstantiated at this time. Allegation: Resident does not receive packages in a timely manner. It was alleged that the packages sent by R1's family were never provided to R1. To investigate this allegation, LPA conducted an interview with the Administrator, on 06/30/22, who stated that he had not heard complaints from any other resident. Administrator also stated that no staff have been noted to interfere with the resident’s mail. LPA interviewed the concierge who frequently works at the front desk. S1 stated that the mail is sorted into the resident’s individual mail box and is being picked up by residents twice a week. For some residents that are unable to come and pick up their mail/packages, the staff will deliver everything to their room during the day. Interviews with ten (10) out of eleven (11) residents revealed that they have never had any issues receiving their mail. Based on interview’s conducted this allegation is deemed Unsubstantiated. Continue on LIC9099-C Allegation: Facility has mold. It was alleged that R1's family member visited R1 (date unknown) and observed mold around the frame of the window . During the initial visit conducted by LPA Tan it was reported that LPA observed the room in which R1 stayed on 1/5/22 and LPA did not observe any mold in the room nor in R1's oxygen tube. Additionally, LPA Martinez conducted various onsite visits from March - October 2022, and LPA Martinez did not observe any mold on walls nor windows. LPA interviewed the Administrator, and Administrator stated that there were never any reports of mold on the walls or windows made by R1 or staff. Moreover, during 06/30/22 visit, LPA Panushkina conducted an interview with the Maintenance Director who also denied the above allegation. In addition, interviews with ten (10) out of eleven (11) residents revealed that they do not have issues with mold in the room. Lastly, during a physical plant tour, LPA did not observe any mold nor other, mold related issues in resident rooms. Due to interviews conducted, this allegation is deemed Unsubstantiated. Allegation: Resident left in soiled diapers for extended amount of time It was alleged that staff left R1 in a soiled diapers for an extended period of time. To investigate this allegation, LPA conducted an interview with R1 on 06/30/22 and was informed that R1 is being changed once or twice during a 24-hour time frame causing R1 to have a rash on bottom. However, interview with the Administrator, Resident Care Director, Wellness Coordinator revealed that the facility staff must change all incontinent residents every two (2) hours or as needed. Interview with three (3) staff members confirmed that during their shift they check/change incontinent residents at least 2-3 times or as needed. Moreover, five (5) incontinent residents interviewed stated that the staff has never left them unclean and that they are assisted to the restroom whenever they request to be taken and or being changed immediately upon request. Lastly, during the subsequent visit conducted on 06/30/22, LPA observed R1 just had a shower and LPA did not observe any strong smells of urine in R1's room. Based on interviews and LPA observation, there is not enough evidence to support the above allegation. Therefore, this allegation is deemed Unsubstantiated at this time. No deficiencies issued. Exit interview conducted and copy of this report signed and delivered.