Complaint·November 2, 2022

Allegation: Facility not providing transportation for resident’s. During the course of the investigation, LPA was unable to find any evidence supporting the allegation. LPA conducted interviews with residents (R1-R7). 7 of 7 residents stated there are no issues with transportation for residents. 4 of 7 residents have family members take them to their medical appointments. R1 has staff take them to medical appointments, R2 stated the doctor comes to the facility for medical appointments and R5 stated he takes the bus on his own to medical appointments. Resident (R1-R7) stated they do not go outside for any activities. 6 of 7 residents stated they do activities in-house so transportation is not needed. LPA conducted interviews with staff (S1-S6). Staff (S1-S4) stated family members provide transportation for the residents. Staff (S1, S3, S4) stated the primary care physician is in house and comes to the facility so residents do not need transportation. Staff (S1-S5) stated activities take place in house and according to the activities calendar. LPA obtained copy of the Admissions Agreement for 4 residents which states escort service for a doctor’s appointment or special outing will require a charge and has a minimum of 2 hours with a 1-week advance notice necessary. LPA observed and obtained activities calendar. Based on the interviews conducted, observation and records review, LPA was unable to find evidence to support the allegation. Allegation: Facility not meeting resident’s dietary needs. During the course of the investigation, LPA was unable to find any evidence supporting the allegation. LPA conducted interviews with residents (R1-R7). 7 of 7 residents stated there are no concerns with the facility meeting resident’s dietary needs. R1 and R4 have dietary needs and have no issues with the food being served to meet their dietary needs. Residents (R2, R3, R5-R7) do not have any special diet but have no concerns with the food. 7 of 7 residents stated they do receive three (3) meals a day and snacks. 6 of 7 residents stated the menu does change. LPA conducted interviews with staff (S1-S6). 5 of 6 staff stated the facility does offer special dietary needs options for those residents who require special dietary needs. Staff (S1, S6) stated there is a weekly meeting to discuss the residents who require special dietary needs to ensure those needs are met. 6 of 6 staff stated the residents receive 3 meals per day and snacks. 6 of 6 staff stated the menu does change every day. LPA obtained the weekly menu. LPA obtained a copy of the written notes from the kitchen discussed in the weekly meetings for the special dietary needs of residents. Based on the interviews conducted, observation and records review, LPA was unable to find evidence to support the allegation. Allegation: Staff doesn’t safeguard residents’ property. During the course of the investigation, LPA was unable to find any evidence supporting the allegation. LPA conducted interviews with residents (R1-R7). 7 of 7 residents stated there are no issues with anything stolen from their room. 7 of 7 residents stated they have no concerns with property not being safeguarded by staff. 7 of 7 residents feel safe here. LPA conducted interviews with staff (S1-S6). 5 of 6 staff stated there are no concerns from residents of property being stolen from a resident’s room. S1 stated we have CCTV which the facility uses as a safeguard in common areas should there be any issues. LPA observed the CCTV cameras in the common areas of the facility. LPA obtained copy of the Admissions Agreement for 4 residents which addresses a section regarding “theft and loss policy” to be reviewed prior to resident move-in. Based on the interviews conducted, observation and records review, LPA was unable to find evidence to support the allegation. Based on the interviews conducted, observation and records review, LPA was unable to find evidence to support the allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted with Administrator Steve Yong Jin Cho and a hard copy was provided.