complaint·May 6, 2025

(Continued from LIC9099-A) LPA also obtained copies of the facility's resident roster, personnel report, unusual incident reports regarding R1 and staff notes. Allegation: Staff speak inappropriately to residents in care. It was alleged that Staff #1 (S1) made an inappropriate comment to R2 and yelled at R1. LPA's interview with four (04) residents revealed three (03) out of the four (04) residents have not witnessed staff speaking inappropriately to residents and have not been spoken to inappropriately by staff. The three (03) residents also denied witnessing S1 yell at residents and denied being yelled at by S1. One (01) out of the four (04) residents confirmed they have been yelled at by S1 and have witnessed S1 make an inappropriate comment to R2. Interview with three (03) staff deny witnessing any staff speaking inappropriately or yelling at any residents. According to the Lead Caregiver S1 assisted R2 with meals in R2's bedroom. LPA Rios was unable to corroborate the allegation. Based on interviews there is insufficient pertinent information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Allegation: Staff do not ensure residents receive personal privacy. It was alleged that staff would walk into bedrooms without knocking. LPA's interview with four (04) residents revealed three (03) out of the four (04) residents have no issues or concerns regarding privacy. Three (03) residents state staff knock before they open the door and they have no preference regarding the door. One (01) resident stating they prefer to keep their door open. Interview with three (03) staff corroborate that they knock before entering a room except for R2's and resident #3's (R3's) room as they both do not respond to knocking at their door. According to staff interviews they also denied witnessing other staff walk into bedrooms without knocking LPA's interview with R1 revealed they believed S1 would linger at their door or pass by every time they were on a phone call to eavesdrop on their conversation. According to the Lead Caregiver S1 assisted R2 in their bedroom which forces them to pass by R1's bedroom. LPA Rios was unable to corroborate the allegation. Based on interviews there is insufficient pertinent information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. (Continue to LIC9099-C) (Continued from LIC9099-C) Allegation: Staff threatened to evict resident. It was alleged that the owner of the facility verbally threatened to evict R1. Interview with the lead caregiver revealed that they did not issue any eviction notices to R1 or their responsible person. During the investigation R1 and staff provided LPA with a copy of a letter dated 03/19/2025 from the owner given to R1 explaining that R1 has expressed dissatisfaction with the facility and due to R1's behavior towards staff the owner would like R1 to explore alternative care options or to move to a place that would meet R1's standards. Review of Unusual Incident/Injury Reports from 02/05/2025 to 04/07/2025 submitted to Long Term Care Ombudsman revealed R1 has had ongoing incidents involving certain staff. LPA's interview with Administrator, Jerome Viray at 4:25 p.m., denied the allegation stating they are trying to communicate with R1 and involved R1's family to resolve issues but have not been successful. According to the administrator the letter provided to R1 was not an eviction notice. Based on interviews and record review there is insufficient pertinent information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Allegation: Staff do not provide adequate food service. It was alleged that the facility will run out of food towards the end of the month. During LPA's tour of the facility LPA observed one (01) resident eating a breakfast meal that contained scrambled eggs, cut up sausages, and a blueberry waffle. LPA's interview with the Lead Caregiver revealed R1 will complain that the caregivers are only preparing Filipino food. According to the Lead Caregiver they cook different kinds of meals and the residents have other options if they do not want to eat what is being prepared. LPA toured the kitchen and observed adequate amount of food. During the investigation LPA obtained a copy of the weekly menu for a month. LPA's review of the menu revealed that the facility is serving a variety of food to residents. Interview with three (03) out of four (04) residents revealed they like the food being served and feel that they receive an adequate amount. Based on interviews and record review there is insufficient pertinent information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided. (Continued from LIC9099) Allegation: There is no admission agreement. In regards to the allegation it is being reported that their is no admission agreement between Resident #1(R1) and facility. To investigate the allegation LPA Rios reviewed R1's records. LPA's review of R1's admission agreement revealed admission agreement on file is between R1 and another facility, Club Rancho Manor Inc. with admission date 09/21/2024. LPA's interview with the Lead Caregiver, revealed R1 was initially admitted to the other facility and was only their for a few days because R1 was in and out of the hospital. R1 then requested to be moved out due to concerns about staff qualifications. R1 was then moved to this facility on 10/01/2024. Facility was unable to provide an admission agreement between R1 and this facility. Admission agreement on file with the facility contains a note on the upper right corner that states, "Transferred to Alexo on Oct 1, 2024 with a revised rate". LPA did not observe a new signature or date next to the written note. Based on record review and interviews, the allegation is deemed SUBSTANTIATED at this time. Deficiency cited (refer to LIC 9099-D). Exit interview conducted. Appeal Right provided. Copy of report provided.