complaint·December 16, 2021

LPA Spaeth conducted an unannounced visit to the facility and was greeted by Administrator, Jessica Peleya. LPA stated the purpose of the visit was to continue the investigation of the complaint, residents' diapering needs are not being met. LPA confirmed with Administrator there are twenty-three (23) residents who receive diaper changes each day. On December 15, 2021, LPA interviewed ten residents from 12:30 pm until 3:00 pm. Six of the ten residents stated had to wait over thirty minutes for a diaper change on many occasion. Three residents stated only checked two times a day during the 7:00 am until 7:00 pm shift and one resident stated had to wait over two hours for a diaper change during the evening shift (7:00 pm until 7:00 am). On December 15, 2021, Administrator explained the caregivers are to check on those residents who need assistance with diaper change every two hours. Therefore the allegation stating residents’ diapering needs are not being met is substantiated. Pursuant to Title 22 Division 6 of the CA Code of Regulations, a deficiency was cited (refer to LIC 809-D). Exit inteview conducted, Appealr Rights discussed, and a copy of the report was issues to Administrator.