complaint·June 14, 2023

Regarding the allegation: Resident is not being bathed. On 01/04/2023, the Department received a complaint alleging that Resident #1 (R1) had a foul smell and was not being bathed. Staff interviews conducted on 01/12/2023, stated that staff bathe residents twice a week. The staff explained that each resident has a different bathing schedule. On 01/12/2023 and on 06/14/2023, the Administrator stated that residents get a bathed twice a week and sometimes up to four (4) times, depending on the resident. The staff and the Administrator could not provide a bathing log or a documented bathing schedule to the LPA. The LPA conducted a record review on 06/14/2023 and noted the following: R1’s admission agreement states that the “Facility provides the resident with three baths/showers per week.” According to R1’s admission agreement, R1 is supposed to be receiving three baths/showers per week. The LPA was unable to confirm whether the residents, including R1 get bathed twice a week or three times a week. Additionally, interview conducted with R1’s family member confirmed that staff do not bathe R1 three times a week. During today’s visit the LPA had a conversation with the Administrator about the bathing logs and bathing schedule. The Administrator explained that they will work on filling out a bathing log and ensure that residents, including R1 will get bathed three times a week as per the admission agreements. Based on the information gathered during the investigation, the preponderance of evidence standard has been met, therefore the above allegation is deemed Substantiated at this time. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiencies were observed and cited during the visit (See LIC 9099-D). Exit interview conducted. A copy of the report and appeal rights were provided. Regarding the allegations: Staff smoke cigarettes on the premises. Staff failed to provide a comfortable environment for residents. On 01/04/2023, the Department received a complaint alleging that the facility staff smoke cigarettes outside the facility and leave the door open, allowing smoke to enter inside the common areas. The complainant alleged that staff failed to provide a comfortable environment for the residents by allowing the smoke to enter the house. On 01/04/2023, the LPA observed one (1) staff smoking outside in the backyard and the back door was observed to be closed. Staff interviews conducted on 01/12/2023, stated that staff only smoke on their breaks and lunch time and in the facility’s designated smoking area. On 01/12/2023 and on 06/14/2023, the Administrator stated that when staff go smoke outside, that they always close the door, to ensure no smoke enters the facility. During both visits on 01/12/2023 and 06/14/2023, the LPA observed staff cleaning and mopping the common areas and residents’ rooms. The LPA also observed the inside temperature being maintained at a comfortable level. The LPA observed common area to be relatively clean and properly furnished. Additionally interviews with resident’s family members did not bring up concerns regarding the above allegations. The information obtained during the investigation did not include evidence sufficient to corroborate the 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 at this time. Exit interview conducted. A copy of the report was provided.