complaint·March 2, 2023

During today’s visit LPA reviewed resident files and obtained R1-R4 physician’s report, and resident roster. LPA interviewed facility Insurance broker and obtained a copy of claim acknowledgement from the insurance broker. LPA and the Administrator toured the facility to ensure no signs of molding. Prior to the visit LPA received a report from All state with results of facility inspection. The investigation reveals the following: Regarding “Staff are not providing residents a safe and healthful environment” it is alleged that the facility is producing contaminated air ventilation. During the visit LPA toured the facility and observed no indication of air pollution. Staff interview revealed that they do not have signs and symptoms of illness/sickness caused by air pollution. LPA reviewed resident files and did not find any resident with pneumonia. The Administrator confirmed that a former resident moved out abruptly and had pneumonia. The Administrator further stated the resident had a history of pneumonia and confirmed that all current residents was never hospitalized for pneumonia. The investigation reveals the following: Regarding “Facility does not have adequate staffing to meet resident's needs”. It is alleged the facility has insufficient staffing. Upon arrival LPA observed two (2) caregivers in the facility during visit and on the initial visit dated 11/21/2022. Staff interviews revealed that the facility always have 2 staff working and sometimes the administrator will also be present. Staff further stated that they do not feel the facility is short staffed. The Interview with the administrator, revealed that 2 staff and 2 administrators are schedule Monday through Fridays, and 1 caregiver is scheduled to the night shift. LPA reviewed staff schedules and observed Monday through Fridays the facility has 2 staff scheduled to work during the day and 1 staff scheduled for the night shift. Report Continued on 9099c The investigation reveals the following: Regarding “Facility has mold”. It is alleged the facility has mold throughout the facility. During the visit LPA toured the facility and observed no signs of molding or white oozing substance. LPA did observe white substance on lining on one floorboard that was hard. interviews with the Administrator revealed that the facility has never had mold. Interviews with staff revealed that they have never seen mold while working at the facility. LPA also consulted with another LPA who was at the facility for another investigation on 12/12/2022, and confirmed mold was not observed during their visit. The investigation reveals the following: Regarding “Facility is in disrepair”. It is alleged the facility floors are buckled. During tour of the facility LPA did observe buckled floors with possible signs of water damage. During the interview with the administrator, it was revealed the floor buckled in October and the facility is in contact with their insurance company to repair the floors. The administrator presented LPA with an email proving that an insurance claim was filed on 6/26/2022 and correspondence between the facility and the insurance company. On 11/22/2022 The facility sent LPA a report of findings from the insurance company citing the damaged floors was due to the house being built without the perimeter gap between the floors. The facility proceeded with a private contractor and repaired the floors prior to LPA’s next visit. LPA received photos from the administrator on 12/20/2022 showing the repaired flooring. During today’s visit LPA confirmed the flooring was repaired by the facility. The Administrator stated the claim was not submitted on 6/26/2022 as the document stated and provided the insurance broker information. Interview with the insurance broker confirmed the date was a mistake and the claim was filed 10/10/2022. Based on LPA's observation, interviews, and file review the investigation revealed: 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 allegations are UNSUBSTANTIATED. Exit interview conducted with Administrator Michelle Navarro and a copy of this record provided.