complaint·August 16, 2024

INVESTIGATION REVEALED THE FOLLOWING: Allegation: Staff are not providing adequate activities to resident in care. The details of the complaint alleged the facility staff are not providing suitable activities to resident # 1 (R1). The information provided indicated (R1) goes to bed early at 05:30 pm and watches television with limited access to television programming channels. Investigation revealed resident #1 (R1) was admitted at Carson Guest Home on 07/04/24 according to Identification and Emergency Information (dated: 07/01/24). Physician’s Report LIC 602A (dated: 07/03/24) is non-ambulatory and unable to self-care and requires assistance with the activities of daily living (ADLs). Preplacement Appraisal Information LIC 603 (dated: 07/04/24) identified that (R1) enjoyed puzzles, being outside, and watching TV (Family Feud, BET, and Westerns). On 08/15/24 and 08/16/24 between 09:00am – 02:59 pm, the Department interviewed (4) out of (5) residents #1-#4 (R1-R4) who expressed having no concerns or issues with the daily activities. (R1-R4) claimed the facility offers satisfactory activities daily to keep each resident interested in an active lifestyle. (R1-R4) stated that it is important for them to have the freedom to participate in activities like leisure time, physical exercises, and socialization according to their preferences. (R1) described the ability to have leisure time with family visits, telephone calls, and socializing with other residents. (R1) stated that (R1) is not limited to television programming and can watch favorite shows like BET and Family Feud. (R1) claimed that no staff mandates (R1) to go to bed early; it is (R1’s) choosing to sleep early on certain nights. (R1) stated bedtime is usually 08:30 pm or 9:00 pm is a normal time. (R1) indicated that (R1) is still adapting to life in a private home environment, but (R1) likes the care and supervision offered 24 hours a day. (R5) who was present at the facility was interviewed and unable to hold a conversation as a result of (R5's) health condition. On 08/15/24 between 01:15 pm – 01:45pm, the Department interviewed (1) out of (1) administrator #1 (A1) who stated that the facility offers plentiful activities for residents in care. (A1) stated is what is important is to match the social factor specifically to each resident interest. The facility program activities included: leisure time, physical exercises, and socialization. The residents are provided entertainment, occupational therapy, and outdoor activities suited to each need. The facility provides transportation to appointments, shopping, and planned trips. (A1) stated has the choice of what daily activities (R1) wants to participate in daily. (R1) often will participate in leisure time watching (R1’s) favorite programs or socializing with residents and visitors. (Evaluation Report continues LIC 9099) (A1) due to (R1’s) health condition and ambulatory status is limited in physical outdoor activities. (R1's) vitals are monitored daily and it is recommended by (R1's) medical physician to maintain a healthy blood pressure rate to sleep earlier and longer to reduce the risk of high blood pressure. On 08/15/24 and 08/16/24 between 08:00 am – 04:30 pm, the Department interviewed family representatives (5) out of (5) witnesses #1-#5 (W1-W5) who articulated to have no concerns with activities offered by the facility. (W1-W5) are completely satisfied with the care and supervision provided by staff. (W1) power attorney to (R1) is complimentary of staff and appreciative of their services provided 24 hours daily. (W1) reported to be involved with (R1) in at least two visits a week and has observed (R1) engaging in activities. Furthermore, (W1) has observed three (3) out of the five (5) residents participating in physical outdoor activities during (W1’s) visits. As a result of the Department reviewing (R1) Physician Report LIC 602A (dated: 07/01/24), Preplacement Appraisal Information LIC 623 (dated: 07/04/24); Medication Administration Record (dated: 08/01/24-08/31/24), Admissions Agreement LIC604A (dated: 0704/24) confirmed (R1) is limited to physical activities. Residents and administrators' statements were verified through observation of the facility's activities calendar and review of its Plan of Operation. During the investigation, the Department observed individual television in each resident rooms, activity room and living room. Based on the information gathered, an inspection of the facility, observation, and interviews conducted, an analysis of records reviewed, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated. An exit interview was conducted with Cora Resurreccion, and a hard copy was provided.