complaint·August 4, 2023

Interviews with 6 of 6 Residents indicate they have never sustained an injury while in care and have never witnessed other Residents sustaining injury while in care. In regards to the allegation: Timely medical care not sought for resident. Interviews with 3 of 3 Staff indicate Resident #1 did not sustain injury, therefore medical care was not sought. Staff also indicated if medical care is needed, Staff would immediate seek medical care for Residents. Interviews with 6 of 6 Resident also indicate that timely medical care is sought if needed. In regards to the allegation: Staff are restraining residents. Per allegation detail, Resident #1, #2 and #3 were tied to their wheelchair or bed. Interviews with 3 of 3 Staff indicate Residents have never been tied to their beds for wheelchairs. Interviews with 6 of 6 Residents also indicate they have never been tied to the bed or a chair and never witnessed other Resident being restraint in such a way. In regards to the allegation: Facility staff served moldy food to residents. LPA toured the kitchen and food storage areas and observed food to be of healthy quality. Interviews with 3 of 3 Staff indicate moldy food is never served to Residents. If food becomes moldy or bad then it is discarded. Interviews with 6 of 6 Residents indicate they have never been served moldy food. In regards to the allegation: Staff did not report incident to licensing agency. Review of records indicate facility has a history of providing incident reports to the department. Interviews with Staff also indicate incident reports are sent to the department upon occurrence. Per allegation detail, incident of Resident #1 sustaining injury was not reported to the department. There is no proof of Resident #1 sustaining a foot injury while in care therefore an incident report for this alleged incident was not drawn. Based on LPA's record review, observations and interviews, the investigation revealed: Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview conducted with David Kim (Administrator) and a copy of this report provided.