Complaint·October 5, 2023

Investigation consisted of: LPA Calderon interviewed A1, S1-S2, and R1-R3. These interviews were conducted on 10/05/2023. LPA Calderon obtain and reviewed the following: physician’s report (dated 08/22/2023), Preplacement Appraisal (dated 07/27/2023) Medical Administration Record (10/2023), Incident report (dated 10/02/2023) for R1. The investigation revealed the following: Regarding Allegation #1 : Staff did not provide a safe and comfortable environment. This complaint alleged that staff left a pair of scissors in R1 room unattended. On 10/05/2023 LPA Calderon obtained and reviewed the following: Service Records reviewed for (R1) revealed Preplacement Appraisal (dated: 07/27/23 and Physician’s Report (date: 08/22/2023), (R1) is not independent and requires assistance with activities of daily living (ADL). LPA Calderon conducted an interview with Assistant Administrator Eilat Nahum A1. A1 states that staff did not leave a pair of scissors unattended anywhere in the facility. A1 states that all knives and scissors are locked up in the kitchen. LPA Calderon conducted an interview with S1-S2. 2 out of 2 staff state that all knives and scissors are locked up and no scissors were left unattended anywhere in the facility. LPA Calderon conducted an interview with R1. R1 states that on an unknown date and unknown time R1 states that that unknown staff left a pair of scissors near R1 bed and R1 did not feel safe. LPA Calderon conducted an interview with R2-R3. 2 out of 3 residents state that they feel safe living at the facility and 2 out of 3 residents state that they have not seen a pair of scissors left unattended by staff. Regarding Allegation #2 : Staff mismanaged R1 medication. This complaint alleged that staff left an open bottle of pills in R1 room unattended. On 10/05/2023 LPA Calderon obtained and reviewed the following: Service Records reviewed for (R1) revealed Preplacement Appraisal (dated: 07/27/23 and Physician’s Report (date: 08/22/2023), (R1) requires assistance with administration of medications. LPA Calderon conducted an interview with Assistant Administrator Eilat Nahum A1. A1 states that staff did not leave an open bottle of pills unattended anywhere in the facility. A1 states that all medications are locked up in the kitchen. LPA Calderon conducted an interview with S1-S2. 2 out of 2 staff state that all medications are locked up and no open bottles of medication were left unattended anywhere in the facility. LPA Calderon conducted an interview with R1. R1 states that on an unknown date and unknown time R1 states that that unknown staff left an open bottle of pills near R1 bed and R1 states that this happened many times but R1 does not remember when this incident happened. LPA Calderon conducted an interview with R2-R3. 2 out of 3 residents state that staff take care of their medications with no issues and 2 out of 3 residents state that they have not seen an open bottle of pills left unattended by staff. Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has NOT been met; therefore, the allegations of “staff did not provide a safe and comfortable environment” “staff mismanaged residents medication” is found to be UNSUBSTANTIATED. An exit interview was conducted, and a copy of the Complaint Report was provided to the Assistant Administrator Eilat Nahm A1.