complaint·June 12, 2024

Allegation: Facility is using kitchen equipment in poor repair. It was alleged that the facility is using a burned-out microwave to heat food, and this is health hazard. To investigate this allegation LPM and LPA tested the microwave in the kitchen and observed it is operational. However, it was also observed that the inside coating is rusted and chipping away. LPM and LPA conducted a web review regarding the issue and per products.geappliances.com states that if the coating is flaking or peeling to discontinue the use of the microwave and replace it. Based on the information gathered and observation, this allegation is Substantiated at this time. Allegation: Facility staff/ or administrator is recording private conversations. It was alleged that the facility has cameras and are recording conversations. To investigate this allegation, LPM and LPA conducted an interview with the Administrator and the Designee and both confirmed that the facility has video surveillance equipment that is capturing audio conversation. This is a personal rights violation. LPM and LPA also requested to provide a footage of a current audio recording and confirmed the above allegation. Based on an observation and information gathered this allegation is deemed Substantiated at this time. Deficiencies issued per Title 22. Exit interview conducted appeal rights explained and copy of this report provided to the Administrator. Allegation: Staff not following medications procedures. It was alleged that the facility staff are touching medications with their hands. To investigate this allegation, LPM and LPA conducted an interview with the S1 and S2 and were informed that before pouring the medications in residents cups, they wear gloves and never touch the pill. S1 also informed LPM and LPA that all staff have taken medication training and are well aware on how to handle residents’ medication. Moreover, LPM and LPA requested S1 to demonstrate how the medications are being dispensed and observed that staff properly following medications procedures. LPA also reviewed and collected S1's and S2's current medication training. Based on interviews and observation this allegation is deemed Unsubstantiated at this time. Allegation: Staff not providing hygiene products. It was alleged that R1’s family member had to provide gloves and diapers for R1 while in care. To investigate this allegation, LPM and LPA conducted review of R1’s Admission Agreement and observed that on page 3, R1/family declined optional services to be provided by the facility, which means that R1/family will purchase/provide hygiene products upon request. Interview with the Administrator confirmed that R1’s family agreed to provide gloves and diapers upon request. However, per staff interview, should R1 run out of incontinent supplies, the facility maintains a supply and will provide r=to R1 and any other resident in need. Moreover, it was alleged that the bathrooms had no toilet papers or paper towels. During the walk through LPM and LPA observed two (2) out of two (2) bathrooms fully stocked with toilet paper and paper towels. Based on observation and information gathered, this allegation is deemed Unsubstantiated at this time. Allegation: Insufficient staffing. To investigate this allegation, LPM and LPA requested LIC500 (Personnel Report) and observed that the facility had seven (7) staff members registered to work. Interview with the Administrator revealed that the facility has enough staff to cover for each shift and all individuals listed on LIC500 are associated to this facility and still currently scheduled to work at the facility. Moreover, LPM and LPA conducted interviews with three (3) residents and all residents interviewed expressed no concerns regarding this allegation. Upon arrival LPM and LPA observed two (2) staff on duty, meeting residents needs. Therefore, based on interviews and record reviews this allegation is deemed Unsubstantiated at this time. Continue on LIC9099-C Allegation: Facility screens in poor repair. It was alleged that the window screen are in poor repair. To investigate this allegation, at 09:00am LPM and LPA conducted a physical plant tour of the entire facility: four (4) bedrooms, living room, dining room and two (2) bathrooms and checked all window screens. LPM and LPA observed that all window screens were properly installed and in good repair. Based on LPMs’ and LPAs’ observation this allegation is deemed Unsubstantiated at this time Allegation: Administrator's certificate expired. To investigate this allegation, at 11:00am, LPA conducted review of “Active Certification List” (updated on 06/05/24) and observed that the Administrator, Gurgen Karapetyan, received his most recent certificate effective 03/09/23 and will be expiring on 03/08/25. The facility designee/Administrator backup, Diana Karapetyan’s certificate expired on March 5 th , 2024 and the renewal was submitted in January 2024, however, the actual certificate is still pending. Based on record review this allegation is deemed Unsubstantiated at this time. Exit interview conducted and copy of this report is signed and delivered.