Complaint·August 9, 2024

Allegation(s): Staff do not ensure that resident's incontinence needs are met. The investigation revealed the following: Regarding the allegation "Staff do not ensure that resident's incontinence needs are met,” it is being alleged that Resident #1’s (R1) underwear is left soiled in feces and urine. In addition R1 has two open wounds on R1’s backside and one is a result of staff not changing R1. On 08/09/24, LPA Cloyd observed that the facility remained free of odors from incontinence. Three (3) out three (3) residents indicated that staff regularly assist them with incontinence needs and there are no complaints. Seven (7) out of seven (7) staff members, including the Administrator, indicated that residents are changed 2-3 times during the day and whenever residents have an emergency. The Administrator indicated R1 followed the same incontinence schedule and that staff made sure that R1 was changed before third-party agencies arrived. Regarding the allegation, “Staff do not ensure that resident's incontinence needs are met,” based on the interviews and observations, 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, as a result, the allegation is Unsubstantiated. Allegation(s): Staff do not maintain facility clean and sanitary at all times. The investigation revealed the following: Regarding the allegations "Staff do not maintain facility clean and sanitary at all times,” it is being alleged that food trays are left on the counters attracting rats. On 08/09/24, LPA Cloyd did not observe trays, but tableware placed on carts to transport food to the first and second floor dining table. Plates were either walked to the kitchen by staff or placed on the cart until everyone finished their lunch. LPA observed a resident eating in his room and the tableware was removed upon completion. Six (6) out six (6) residents indicated that plates are removed from the eating area quickly. Seven (7) out of seven (7) staff members, including the Cook, indicated that plates are removed quickly, the common areas and resident rooms are cleaned daily, and they have not seen rats. The Administrator indicated that staff sweep at night because some residents like to eat and drop crumbs. LPA observed the facility to be clean and sanitary. Continue to LIC9099-C. Regarding the allegation, “Staff do not maintain facility clean and sanitary at all times,” based on the interviews and observations, 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, as a result, the allegation is Unsubstantiated. Allegation(s): Staff are not addressing rodent problem. The investigation revealed the following: Regarding the allegations, “Staff are not addressing rodent problem,” it is being alleged that rats enter the facility and leave droppings. On 08/09/24, LPA Cloyd did not observe rat droppings in resident #1’s (R1) former bathroom nor in the facility. Eight (8) out of nine (9) resident interviews indicated that they have not seen rats in the facility. All staff interviews indicated that the facility does not have a rodent problem. Record review reveals that the facility receives monthly pest control as of 2006. Interview with the Administrator indicated that a special pest control service was added once she learned about the rat allegation in September 2023. Regarding the allegation, “Staff are not addressing rodent problem,” based on the interviews, observations, and record reviews, 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, as a result, the allegation is Unsubstantiated. No deficiencies were cited for these allegation(s). An exit interview was conducted and a copy of this report was provided to the Administrator Mona Alcaraz.