Complaint·April 6, 2023

It is It is alleged that the staff did not provide residents adequate care and supervision. Complainant states “seniors are left unattended, some are in a state of undress, and one resident fell and was left in their own urine for hours without any one to help”. When the LPA asked S1 about this, S1 denied the allegation that any of that ever took place. S1 went on to say that the facility has around the clock care, and no one is ever left without supervision and care is given constantly to ensure each resident is taken care of. And as for a fallen resident, S1 states that anytime any resident falls the caregivers or staff calls a “code green”, this alerts everyone that someone has fallen and needs assistance; we would never leave someone on the ground calling for help. LPA interviewed S2-S7 about the allegation that staff did not provide residents adequate care and supervision and 6 of 6 staff denied that allegation. All staff corroborated that all residents are provided more than adequate care and supervision. They stated that we are trained in sensitivity and compassion and would never allow for residents to be neglected. LPA interviewed residents R1-R6 about the allegations that residents are not provided adequate care and supervision. All residents, 6 of 6 denied that allegation and overwhelming stated that they are well-cared for in this facility. Based on the information gathered, there is insufficient evidence to support the allegation mentioned above. Allegation: Staff left resident in urine for an extended period of time after falling. The details of the complaint states that the staff left resident in urine for hours and did not come to their aide. LPA asked S1 about the allegation and S1 denied it, stating that nothing like that has ever happened. S1 went on to say that all residents with incontinence needs are checked on every two hours to make sure they are dry and haven’t had any accidents. Further, S1 stated that anytime a resident falls they are promptly assisted by staff. LPA interviewed staff S2-S7 about the allegation and all staff denied the incident ever happened and that the residents are always monitored to avoid this type of situation. LPA interviewed residents R1-R6 about any knowledge of the alleged incident and 6 of 6 residents denied knowing anything about the allegation and confirmed that the staff are taking good care of the residents. Based on the information gathered, there is insufficient evidence to support the allegation mentioned above. Continued on LIC9099-C Allegation: Staff did not ensure that residents received their medications on time. It was alleged by the complainant that residents are not receiving their medication on time. When asked about the allegation by the LPA, S1 stated that no one has ever complained about getting there medication late or not receiving it at all. S1 stated that all medications are documented on the medication administration record. Further, S1 stated that the facility follows the schedule the doctor prescribes for each resident. LPA interviewed staff S2-S7 about the allegation and 6 of 6 staff denied that this occurred. Staff members stated that they have a schedule for each resident and medication is given at the times prescribed by their physician and that they keep records of all medication given on each day and time. LPA was presented with medication administration record to verify these facts. LPA interviewed residents R1-R6 about the allegation and 6 of 6 residents denied that they have ever received their medication late and were unaware of anyone else in the facility. Based on the information gathered, there is insufficient evidence to support the allegation mentioned above. Allegation: Staff did not maintain facility in a clean and sanitary condition. When asked about the allegation, S1 denied that the facility is not maintained in a clean and sanitary condition. S1 stated that housekeeping works throughout the day cleaning each bedroom, bathroom, and the general areas of the facility. LPA toured the facility and found it to be clean, odor free, incompliance with title 22, and well maintained. LPA interviewed S2-S7 about the allegation that the staff did not maintain facility in a clean and sanitary condition; 6 of 6 staff denied the allegation. S2-S7 maintains that housekeeping and maintenance is always attending to the needs of the facility, and never intentionally leaves it unclean. LPA interviewed R1-R6 about the cleanliness of the facility and a majority stated that the facility is well run and kept clean at all times. Based on the information gathered, there is insufficient evidence to support the allegation mentioned above. Based on the information provided, observations, and interviews, the Department finds the facility is not in violation of Title 22 Regulations and no evidence supports the allegations mentioned above. 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, therefore the allegations are Unsubstantiated . No deficiencies were cited during this visit. An exit interview was conducted with Virginia Zenteno, Administrator, and a copy of the report was provided.