complaint·June 15, 2023

INVESTIGATION REVEALED THE FOLLOWING: Allegation: Staff did not ensure facility was free from cockroaches. The details of the complaint alleged the staff is not ensuring the facility is free from cockroaches in the kitchen and throughout the facility. The Department inspected the kitchen, and commons areas in the Assisted Living and Arbor Hall Memory Care spaces and observed dead roaches in the dining room area. Staff #1 stated the pest control company was just out on 06/12/23 to spray in the kitchen and dining area is the apparent reason for the dead roaches. Staff #1-#2 (S1-S2) reported the facility has a service contract agreement with Gam Exterminating Inc. which comes to service the facility weekly. The facility provided maintenance service receipts as proof of service provided continuously. Based on the information gathered, there is sufficient evidence to support the allegation mentioned above. Allegation: Facility is in disrepair. The complainant alleged that resident #1 (R1’s) bathroom is not maintained in good repair. The complainant stated (R1’s) #203 bathroom toilet leaks, a sink is not working, a stained floor, and no shower curtain is provided. The Department inspected room #203 at 10:30 am and observed a rusted leaky faucet, a stained floor, a loose toilet flush, blue-green stain in the bottom of the sink. (R1’s) the bathroom did include a shower curtain which was observed during the inspection. Neither the complainant nor resident #1 (R1) were available for further comment. The Department inspected the common areas and observed a non-working carbon monoxide in the kitchen dangling a loose surveillance camera unattached to a ceiling bracket. Based on the information gathered, there is sufficient evidence to support the allegation mentioned above. Based on observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099-D. Exit interview was conducted with Ginger Enriquez, Assistant Administrator and a hard copy of the report along with appeal rights. INVESTIGATION REVEALED THE FOLLOWING: Allegation: Staff are not cleaning resident’s bathroom. The details of the complaint alleged the staff is not ensuring the facility is not cleaning resident #1 (R1’s) bathroom. The Department inspected (R1’s) room #203 at 10:30 am and observed staff #3 (S3) was in (R1’s) room cleaning the bathroom. According to (S3) room #203 is on a daily housekeeping schedule which includes daily cleaning of (R1’s) bathroom. (R2) stated no issue with room #203 and it is service by housekeeping daily. An interview with staff #4 (S4) stated there is four (4) housekeeping staff on alternate schedules to service room #203 daily. (S4) stated that there are often when room #203 is serviced more than once a day when requested by residents and that housekeeping will provide the additional service. (S1) provided a Personnel Report LIC 500 which indicates the housekeeping staff schedules. The residents (R2-R10) reported they had no concerns as their rooms are service daily or as needed and did not feel neglected. Based on the information gathered, there is no evidence to support the allegation mentioned above. Allegation: Staff did not ensure the facility was malodorous. The complainant alleged that resident #1 (R1’s) bathroom and the facility smelled of malodorous urine. The Department inspected (R1’s) room #203 and found did not emit any malodorous odor. An inspection of common restrooms and areas of the facility found no malodorous odor. The Department has had six (6) plant inspection visits since January 2023. The Department observed the facility to be clean and maintained in order. During the visits on 06/15/23 and other prior visits, the Department has regularly observed housekeeping, janitorial, and maintenance services being conducted. An interview with (S4) expressed that they continue to ensure that the facility is in healthful conditions due to COVID-19 infection and extra work has been arranged by housekeeping staff to ensure the facility is a safe and sanitary environment for staff and residents daily. The residents (R2-R10) report they are pleased with the upkeep of the facility and state their rooms and common areas are not neglected. (R2-R10) added they have not observed the facility in a malodorous odor that would be considered offensive. Based on interviews and observation, there is no evidence to support the allegation mentioned above. Neither the complainant nor resident #1 (R1) were available for further comment. (Evaluation Report continues LIC 9099-C) Based on information gathered, an inspection of the facility, observation, and interviews conducted, the Department found no evidence to support the allegations 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 allegations is Unsubstantiated.