complaint·October 10, 2024

Based on record review and interviews, there is enough information to verify the allegation. Therefore, the allegation is SUBSTANTIATED at this time. ---Staff are not adequately trained It was alleged that staff are not adequately trained and do not have training documents in their personnel file. To investigate the allegation, on 07/17/2024 LPA requested pertinent documents at 11:00 AM and interviewed one (01) staff from 11:00 AM to 11:45 AM. A review of the facility’s files revealed that Staff #2 (S2), S3 and S4 did not have the required training documentation on file to provide the necessary care and supervision. Based on record review, there is enough information to verify the allegation. Therefore, the allegation is SUBSTANTIATED at this time. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D): No other health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued. During interviews with resident, Resident #1 (R1) stated they are unaware of any drug use in the facility. Based on observations and interviews, there is not enough information to verify the allegation. Therefore, the allegation in UNSUBSTANTIATED at this time. ---Staff are not providing adequate food service. It was alleged that the food in the facility is kept passed the expiration dates. To investigate the allegation, on 07/17/2024 LPA conducted physical plant tour at around 10:15 AM and interviewed one (01) staff from 11:00 AM to 11:45 AM. On 10/10/2024, LPA interviewed one (01) additional staff and one (01) out of three (03) residents from 12:00 PM to 01:00 PM. LPA was unable to interview other residents due to conditions. During the physical plant tour LPA did not observe any expired foods. During interviews with staff, all staff stated they are unaware of any expired foods being kept or served in the facility. During interviews with resident, R1 stated they are not aware of facility storing or serving expired foods. Based on observations and interviews, there is not enough information to verify the allegation. Therefore, the allegation in UNSUBSTANTIATED at this time. ---Staff do not keep the facility free from pest It was alleged that the facility has pest (roaches) in the kitchen. To investigate the allegation, on 07/17/2024 LPA conducted physical plant tour at around 10:15 AM and interviewed one (01) staff from 11:00 AM to 11:45 AM. On 10/10/2024, LPA interviewed one (01) additional staff and one (01) out of three (03) residents from 12:00 PM to 01:00 PM. LPA was unable to interview other residents due to conditions. During the physical plant tour, LPA did not observe any roaches or pests in the facility. During interviews with staff, all staff stated they have not witnessed any roaches or pests in the facility. During interviews with resident, R1 stated they have not witnessed any roaches in the facility. Based on observations and interviews, there is not enough information to verify the allegation. Therefore, the allegation in UNSUBSTANTIATED at this time. ---Staff do not ensure that hazardous items are inaccessible to residents It was alleged that there are hazards such as chemicals and medicated ointments accessible in the resident's bedrooms behind the sliding cabinets. To investigate the allegation, on 07/17/2024 LPA conducted physical plant tour at around 10:15 AM, requested pertinent documents at 11:00 AM and interviewed one (01) staff from 11:00 AM to 11:45 AM. On 10/10/2024, LPA interviewed one (01) additional staff and one (01) out of three (03) residents from 12:00 PM to 01:00 PM. LPA was unable to interview other residents due to conditions. During the physical plant tour, LPA did not observe any unlocked chemicals or toxins accessible to residents. During interviews with staff, all staff stated that all toxins and chemicals are kept locked and inaccessible to residents. During interviews with resident, R1 stated they are unaware of unlocked or accessible toxins and chemicals. Based on observations and interviews, there is not enough information to verify the allegation. Therefore, the allegation in UNSUBSTANTIATED at this time. ---Staff are mismanaging resident medication It was alleged that the current caregivers may not have adequate training as evidenced by certificates or records to administer medications. To investigate the allegation, on 07/17/2024, LPA requested pertinent documents at 11:00 AM and interviewed one (01) staff from 11:00 AM to 11:45 AM. A review of the facility’s files revealed that Staff #2 (S2), S3 and S4 did not have the required training documentation on file to provide the necessary care and supervision. Although the aforementioned staff do not have training documents on file, other staff in the facility that are responsible for medication distribution have the required training. A review of the Medication Administration Records also shows that all medications were distributed as prescribed. Based on record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No other health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.