Complaint·May 9, 2024

During interviews with residents, seven (07) out of eleven (11) residents stated they have experienced problems with the call button and believed that it was not working. The remaining four (04) out of eleven (11) residents stated they are unaware as they do not use the call button for assistance. Based on interviews, 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 health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued. During interviews with residents, all residents stated that it takes staff between five (05) to ten (10) minutes. Based on observations and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Staff are unable to communicate with residents due to a language barrier It was alleged that there are many incidents of communication issues because staff do not understand what the residents are asking for. To investigate the allegation, on 02/27/2024, LPA interviewed three (03) staff from 10:30 AM to 12:00 PM and interviewed eleven (11) residents from 12:00 PM – 3:00 PM. During interviews with staff, all staff stated they can effectively communicate with residents to meet their needs. During with residents, all residents stated they do not have issues with communication and staff are able to meet their needs. Based on interviews, there is enough not information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Staff do not assist resident with incontinence needs It was alleged that Resident #1 (R1) is not checked on every two hours and not being changed. To investigate the allegation, on 02/27/2024, LPA interviewed three (03) staff from 10:30 AM to 12:00 PM and interviewed eleven (11) residents from 12:00 PM – 3:00 PM. During interviews with staff, all staff stated they check all incontinent residents every two (02) hours or more frequently if needed. During interviews with residents, eight (08) out of eleven (11) residents stated they are checked on every two (02) hours. The remaining three (03) residents stated they do not require incontinent care. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. (CONT. on LIC 9099-C) --- Staff do not ensure that the facility remains free of odors It was alleged that visitors can smell that R1 has not been changed. To investigate the allegation, on 02/27/2024, LPA conducted a physical plant tour at around 9:30 AM, interviewed three (03) staff from 10:30 AM to 12:00 PM and interviewed eleven (11) residents from 12:00 PM – 3:00 PM. During the physical plant tour, LPA did not experience any mal odor. During interviews with staff, all staff stated the only time that mal odor exists is when residents are in the process of relieving themselves or when they are changed. Staff added that after changing, the rooms are aired out. During interviews with residents, all residents stated they do not experience mal odor in the facility. Based on observations and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Staff do not follow resident's care plan It was alleged that R1 is supposed to have their legs elevated but staff are not doing it. To investigate the allegation, on 02/27/2024, LPA interviewed three (03) staff from 10:30 AM to 12:00 PM and interviewed eleven (11) residents from 12:00 PM – 3:00 PM. During interviews with staff, all staff stated that Resident #1’s (R1) legs are being elevated, but that R1 moves their legs after a short time. During interviews with R1, they stated that staff are following the request of having their feet elevated but after a while, they put their feet down and reposition however they please. All other residents stated that the facility is following their care plan. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.