Complaint·April 14, 2021

Based on the LPA's investigation, the investigation revealed the following: For Allegation #1 – Staff relocated resident without permission. Interview with Administrator, she stated that R#1 did agree to change facilities. She spoke to R#1 about the other facility (Eilat’s Manor) how Much R#1 would like to live there and R#1, would still have everything R#1 had there at Beit Shalom. The bedroom and shower would bigger to accommodate R#1 and wheelchair. According to Administrator R#1 agreed to try It. LPA Soto requested copies of form signed where R#1 agreed to the change. Administrator failed to provide the form to LPA Soto. Interviews with R#1 and W#1, stated that R#1 did not want to move, R#1 wanted to stay at Beit Shalom. Interviews with S#2 & S#3, stated that they were not aware of anyone moving facilities without their consent. Interviews with R#1 – R#3, LPA Soto could not interview residents, due to the residents not available to interview at the time of visit. The interviews conducted concurred with the above allegation. Based on LPA’s observations and interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed the following deficiency and issued a citation. Telephonic exit interview was conducted with Miriam Rudes, and a hard copy was provided via email for signature and Appeal Rights provided Based on the LPA's investigation, the investigation revealed the following: For Allegation #2 - Staff did not provide diapers for resident. Interview with administrator, stated that R#1 was supposed to paying for R#1 incontinence products, but she had waived that fee for R#1. After, Covid administrator could not afford to waive it anymore. R#1 was asked to pay for R#1’s own incontinence products. Interviews with R#1, could not remember if R#1 was paying or not paying for R#1 own incontinence products. Interview with W#1, stated that facility should be paying for incontinence products. Interviews with S#2 &S#3, they stated they weren’t aware if R#1, who paid for R#1 incontinence products. Interviews with R#1 – R#3, LPA Soto could not interview residents, due to the residents not available to be interviewed at the time of visit. LPA Soto reviewed R#1’s admission Agreement, the documents shows that R#1 is responsible for paying for incontinence products. Interviews conducted did not concur with the above allegation. For Allegation #3 – Staff did not assist resident. Interviews with Administrator and staff stated that they immediately go to the residents who ask for assistance. They help them with whatever they need. Interviews with R#1 and W#1, stated that R#1 on a couple of occasions has been left unattended without help for several hours. Interviews with R#1 – R#3, LPA Soto could not interview residents, due to the residents not available to be interviewed at the time of visit. Interviews conducted did not concur with the above allegation. For Allegation #4 – Staff left resident in soiled diaper for a long period of time. Interviews with Administrator and staff stated that they check the resident’s with incontinence every 2/3 hours. If needed, they change their diaper. Interviews with R#1 and W#1, stated that R#1 on a couple of occasions has been left with soiled diaper for several hours at night. Interviews with R#1 – R#3, LPA Soto could not interview residents, due to the residents not available to be interviewed at the time of visit. LPA Soto reviewed the bowel movement log and it showed that staff is changing residents every 2/3 hours and as residents need it. Interviews and records reviewed did not concur with the above allegation. 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 A tele-visit exit interview was conducted with Miriam Rudes, Administrator, and a hard copy was provided via email for signature.