complaint·August 15, 2023

On visit 8/1/23, the visit consisted of the following: LPA Calderon obtaining staff and resident roster. LPA Calderon along side with Staff #3 (S3) toured random resident rooms and residents private bathrooms, in main building: Rooms #:12,21, 25, 28, and 29. Main building shower rooms were observed. LPA tested call system. LPA observed cottage 1511 unoccupied by residents. LPA observed cottage 1515 :common restroom, and residents rooms #:2,3,4 and 5. LPA observed kitchen and LPA interviewed handyman worker who was present at the facility during the time of visit. On 8/15/23 LPA Calderon visit consisted of the following: LPA interviewed Assistant Administrator and Administrator, Staff #1 (S1) and Staff #2 (S2). LPA interview residents #1- resident #4 (R1-R4), Attempt to interview resident #5 (R5). LPA observed the telephone areas. Regarding allegation: Licensee does not maintain facility in good repair. LPA interviews with staff: Assistant Administrator and Administrator stated facility in good repair when facility requires repairs third party assistance is called and are hired to repair, fix and provide maintenance. Interview with S1 and S2 denied the above allegation and stated that the facility is in good repair. S1 on 11/22/22 interview, stated facility had recent remodels done. Interviews with residents on 11/22/22, revealed the following: 3 out of 5 residents interviewed: R1, R3 and R4 alleged that the cottage room common bathroom toilet has issues flushing at times and stated facility has no other issues regarding disrepair's in the facility. 4 out 5 residents during interview with LPA Calderon stated not aware if call system is operable as they do not use system. On 8/1/23 LPA Calderon interviewed facility handyman that does maintenance for the facility and handyman stated facility communicates with handyman regarding repairs that the facility requires when fixing is needed. Handyman stated working with the facility for about 18-20 years and facility provides on going repairs when needed. LPA Calderon alongside with S3 observed random resident rooms in the main building and observed running hot water, lights being operable, room furniture in good condition, operable toilet with lids, and call light system operable. LPA observed common restroom in cottage 1515 having toilet paper rod holder, toilet lid in place, toilet flushing properly, and running hot water. LPA observed common showers in main building having adequate lighting, running hot water, and operable call system in place. LPA Calderon observed kitchen appliances being operable. LPA observed bathrooms during visits on 11/22/22 and 8/1/22, being operable. However, the investigation did not reveal the licensee does not maintain facility in good repair, there is no evidence to support the above allegation. Therefore, the allegation is deemed unsubstantiated per Title 22 Regulations, Division 6, Chapter 8. (Continuation 9099-C...) Regarding allegation: Facility is not allowing residents to use the outdoor telephone comfortably and freely. LPA Calderon interviewed Assistant Administrator, Administrator, S1 and S2 all who denied the above allegation and stated all three phones are available for the residents use, and phones can be used comfortably and freely and there is privacy upon using the telephones. LPA interviews revealed that R2-R4 all residents have access to a phone and to use the phones comfortably and freely and there is no issues with sandbags located in patio near the outside telephone. R1 during interviewed stated facility provides alternative phones for residents to use comfortable and freely but at times outside telephone may have supply items in the way of reaching the phone. LPA observed location of the phones, 3 phones facility provides for residents in care , 1 phone is in the cottage building hallway, 1 in the patio and another is a wireless phone located in the front desk. LPA observed phones being available to the clients in care and phones can be used comfortable and freely. LPA observed outside phone patio having chairs near the phone for residents comfort and use. However, the investigation did not reveal the licensee does not maintain facility in good repair, there is no evidence to support the above allegation. Therefore, the allegation is deemed unsubstantiated per Title 22 Regulations, Division 6, Chapter 8. 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. A copy of this report was provided to Administrator Peter Babaian.