complaint·February 12, 2025

Investigation Revealed the Following: Allegation: Staff did not meet a resident's incontinence need. The details of the complaint alleged that facility staff is not meeting (R#1)’s incontinence needs. During the records review, LPA Iniguez observed (R#1)’s Physicians Report for the Residential Care Facilities for the Elderly (RCFE) or LIC 602A dated 9/4/2024, it was marked by a physician that (R#1) did not have a bladder or bowel impairment. In addition, (R#1) can follow instructions and communicate their needs. Moreover, LPA Iniguez reviewed (R#1)’s Admission Agreement dated 11/8/24; it was written that (R#1) did not have additional services, such as incontinence services. During an Interview with the Administrator (A#1), he stated that the facility has an incontinence schedule, and the facility staff also changes the residents as needed. Moreover, (A#1) stated that (R#1) did not have incontinence while residing at the facility and never used adult diapers. (R#1) is no longer at the facility, and (W#1) hopes (R#1) is not call regarding this complaint investigation. During interviews with residents (R#2-R#4), (3) out of (3) stated that the facility staff is tending to their needs, including incontinence services. During interviews with facility staff (S#1-S#2), (2) out (2) stated that the facility has an incontinence schedule, and, in addition, the facility staff changes the residents as needed. Also, (2) out of (2) facility staff state that (R#1) did not have incontinence while residing at the facility and never used adult diapers. Evaluation Report continues LIC 9099-C Allegation: Staff did not seek timely medical attention for a resident. The details of the complaint alleged that facility staff did not call 911 when (R#1) felt at the facility. During the records review, LPA Iniguez observed (R#1)’s facility file; LPA did not find incident reports regarding (R#1)’s alleged fall at the facility. In addition, LPA Iniguez reviewed the Regional Office Special Incident Report (SRI) folder, and there are no SRIs regarding the (R#1) incident. During an Interview with the Administrator, (A#1) stated that (R#1) never fell at the facility while they resided there, so there was no need to call emergency services. Also, (A#1) states that the facility staff tends to the residents' needs as much as possible, including (R#1) while they reside there. (R#1) is no longer at the facility, and (W#1) hopes (R#1) are not call regarding this complaint investigation. During interviews with residents (R#2-R#4), (3) out of (3) stated that they feel the facility staff will seek immediate medical attention in case something happens to them. During interviews with facility staff (S#1-S#2), (2) out (2) stated that (R#1) never sustained a fall while living at the facility; if (R#1) had one, they knew they had to call 911. Also, (2) out of (2) facility staff stated that they make sure all resident's needs are met, including (R#1) 's, while they live here. Evaluation Report continues LIC 9099-C Allegation: Staff did not properly report an incident involving a resident. The details of the complaint alleged that facility staff did not report (R#1)’s incident to the appropriated parties (family, doctor, CDSS). During the records review, LPA Iniguez observed (R#1)’s facility file; LPA did not find incident reports regarding (R#1)’s alleged fall at the facility. In addition, LPA Iniguez reviewed the Regional Office Special Incident Report (SRI) folder, and there are no SRIs regarding the (R#1) incident. During an Interview with the Administrator, (A#1) stated that they knew that each incident must be reported to the resident’s family, doctor, and CDSS; however, since (R#1) did not fall while they were living at the facility, there was nothing to report. (R#1) is no longer at the facility, and (W#1) hopes (R#1) are not call regarding this complaint investigation. During interviews with residents (R#2-R#4), (3) out of (3) stated that they think the facility staff will report to their families and doctors in case something happens to them. During interviews with facility staff (S#1-S#2), (2) out (2) stated that since (R#1) did not sustain a fall while living here, there was nothing to report. Also, (2) out of (2) facility staff stated that they know that each incident involving a resident must be reported. Evaluation Report continues LIC 9099-C During this investigation, LPA found did not find sufficient evident to support the above-mentioned allegation(s). Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted, and a copy of the Complaint Report was given to Edilberto Bernardino / Administrator.