complaint·September 19, 2023

resident #2 (R2) and resident #3 (R3). Interviews of the staff present at the facility revealed that they dispense the medication as per physician orders. LPA Lacy made a few attempts to contact the night shift caregivers, but to no avail. A review of the medical administration records (MAR) conducted on 9/05/2023 at 11:30am revealed, that on 12/27/22 and 12/29/2022, R2's 10pm medications were not dispensed to the resident. R3 did not receive their 10pm medication on 12/29/2022. Based on review of residents' MAR, there is sufficient information to conclude that staff did not distribute residents' medications as prescribed. Therefore, the allegation is SUBSTANTIATED at this time. Under Title 22, division 6, chapter 8 the following citation was issued and recorded on the LIC 9099D. Exit interview conducted and a copy of the report was issued. criminal record clearance and/ or association. Interviews revealed that the Administrator does not allow staff to work in the facility without approved criminal record clearance and association to the facility. Upon review of the daily staff schedule and staff records, it appears that S1 has been working for the facility since 9/08/2022. A review of the Licensing Information System (LIS), shows that S1 and S2 both have fingerprint clearance and association to the facility. All staff working in the facility during this investigation had criminal record clearance. Based on interviews and record review there is not sufficient information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. It was reported that staff do not manage resident's behavior. Resident #1 (R1) has behaviors of scratching, spitting, and fighting. Reporting party states that the licensee does not manage R1's behaviors. Staff are told to "leave her alone." Staff interviews revealed that R2 does not have behaviors. Due to their health condition, at times R2 is confused and agitated. However, caregivers are able to redirect R1. No staff complained about R1's behavior. A review of R1's facility records verified the information revealed from staff. No other information or records were available to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. It was alleged that Staff #2 (S2) are distributing medication to residents however, S2 has not had medication training. During this investigation the Administrator stated that all staff working at the facility have received medication training. Staff also confirmed that they received medication training. On 9/07/2023 at 12:30pm, the Administrator e-mailed copies of staff training records, confirming the information revealed from the interviews. Based on interviews and records review, there is no pertinent information to verify the allegation. Thus, the allegation is UNSUBSTANTIATED at this time. It was reported that the toilet in the bathroom, which is designated for the residents, has been "stopped up" for two weeks. Reporting party states that staff have to use a plunger after each toilet use. Staff indicated that the bathroom toilet is functioning properly. Residents interviewed during the investigation did not address any concerns regarding facility toilets. At the time of licensing visits, bathrooms were inspected, and the toilets were functional and in good repair. Based on inspection, observation, and interviews, there is no pertinent information to verify this allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. It was alleged that R2 and Resident #5 (R5) have not had a shower since September of 2022. Staff revealed that the resident is getting showered every Tuesday and Friday. If resident refuses, then they ask the next day. Residents interviewed during the investigation did not have any concerns regarding their shower assistance. At the time of the investigation, LPAs observed all residents residing at the facility and they were clean and well groomed. During the facility inspection, LPAs did not smell urine. Based on inspection, observation, and interviews, there is not sufficient information to verify the allegation. Thus, the allegation is UNSUBSTANTIATED at this time. It was alleged that R1 smells bad and was left in soiled diapers. Staff revealed that all facility residents requiring incontinent care are being checked every 2 hours, at times even sooner. Residents interviewed during the investigation did not address any concerns about their incontinent care. R1 was unable to respond to the questions due to their health condition affecting their speech. At the time of this visit LPA Valenzuela observed that facility staff assist residents with toileting and they were clean and groomed. LPA did not smell urine or other foul odors. Based on observation, interviews, and records review, there is an insufficient amount of information to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health and safety hazard is noted during this visit. Exit interview was conducted and a copy of the report was issued.