complaint·June 10, 2024

Allegation: Staff did not prevent the residents from having access to cleaning supplies. It is alleged that staff did not prevent the residents from having access to cleaning supplies. On a visit by Ombudsman on 5/14/2024 Ombudsman observed that a dog collar was being used to secure the cleaning supply cabinet. During the facility tour LPA was not able to observe said collar, LPA did observe that an appropriate lock was securing the cleaning supplies. However, Ombudsman was able to provide a picture of this collar. LPA interviewed the Administrator, and it was revealed that this collar was in fact in place of an actual lock but that a new locking device has been implemented. Based on observations and interviews this allegation is deemed Substantiated at this time. Allegation: Staff did not provide solid waste bins with tight fitting lids. It is alleged that staff did not provide solid waste bins with tight fitting lids. On a visit by Ombudsman on 5/14/2024 Ombudsman observed that trash bins throughout the facility did not have tight fitting lids on them. Ombudsman was able to provide a picture of trash cans without lids. LPA interviewed Administrator and it was discovered that Administrator was not aware of this regulation. During facility tour LPA observed that trash cans do have lids, however Administrator admitted to not having trash cans with lids prior to LPA's visit. Based on interview and observation this allegation is deemed Substantiated at this time. Citations issued. Appeals rights discussed and provided. Exit Interview conducted. A copy of this report provided to Administrator. Allegation: Staff did not provide adequate food service to the residents. It is alleged that staff did not provide adequate food services to residents. On a visit conducted by Ombudsman on 5/14/2024 Ombudsman observed that food appeared to have mold on it and it was not labeled. During the investigation LPA was provided pictures by the Ombudsman. LPA interviewed Administrator and LPA was advised that the food is a Korean dish containing pickled garlic called “Maneul Jangajji” and that the white substance observed is actually bits of garlic floating. During interviews it was discovered that residents do not eat that particular dish as it is not offered to them. Furthermore, it was revealed that the container that was observed by Ombudsman is for personal staff use, and it is not fed to residents. Based on interviews and observations, this allegation is deemed Unsubstantiated at this time. Allegation: Staff did not properly maintain the resident’s bathroom. It is alleged that staff did not properly maintain the resident’s bathroom. On a visit by Ombudsman on 5/14/2024 Ombudsman observed that the resident bathrooms were not kept clean. Ombudsman was able to provide pictures. During facility tour LPA observed that restrooms were clean, however during interview with the Administrator, it was revealed that Ombudsman had arrived before cleaning had been completed. It was discovered that the substance that was observed was a cookie that a resident had spit up as this is part of their behavior and staff had not had the opportunity to clean it up yet. During interview with Administrator it was revealed that facility is cleaned early in the morning and late at night, or when there is something that is visibly soiled, it is immediately cleaned up. Based on interview and observations this allegation is deemed Unsubstantiated at this time. Allegation: Staff did not provide non-skid mats for the residents. It is alleged that Staff did not provide non-skid mats for the residents. On a visit by Ombudsman on 5/14/2024 Ombudsman observed that there was a resident restroom that did not have non-skid mats or strips in all bathtubs and showers. Ombudsman was able to provide pictures. During LPA facility tour it was observed that all bathtubs and showers have non-skid mats. LPA interviewed Administrator and it was revealed that the mats are removed for cleaning when not in use. Furthermore, Administrator states that she showed the Ombudsman the mats as they were in the restroom airing out. Based on observation and interview this allegation is deemed Unsubstantiated. Copy of this report provided to Administrator. Exit interview conducted.