complaint·June 26, 2025

The investigation revealed the following: Regarding the allegation, " Staff are not ensuring that resident's incontinence needs are being met", it is being alleged that the staff at the facility are not changing residents' incontinent supplies in a timely manner. Record reviews revealed that documentation of resident(s) in question have been completed; which include their MAR(s) for the months of November and December, showering chart dating back to 12/02/24 and "diaper change" log which dates to 12/28/24. LPA interviews revealed that two staff (S1-S2) agree that one resident has been discovered in soiled linens. Based on record reviews and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated . California Code of Regulations, Title twenty-two (22), Division six (6) is being cited on the attached LIC9099-D. Regarding the allegation, " Staff are not trained on maintaining resident's hygiene", it is being alleged that the staff at the facility are not trained on maintaining resident's hygiene. Record reviews revealed that documentation of resident(s) in question have been completed; which include their MAR(s) for the months of November and December, showering chart dating back to 12/02/24 and "diaper change" log which dates to 12/28/24. LPA interviews revealed that a staff (S1) has confirmed they use baking soda mixed with water to clean a resident's infection. Based on record reviews and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated . California Code of Regulations, Title twenty-two (22), Division six (6) is being cited on the attached LIC9099-D. An exit interview was held with staff one, Allan Palisoc - Lead CNA/Caregiver (S1), and a copy of facilities' appeal rights, these two (2) deficiencies and this report have been provided. The investigation revealed the following: Regarding the allegation, " Staff do not ensure the facility is clean and sanitary", it is being alleged that a resident's family member(s) have observed the facility to be in disrepair, which have included toilet paper and cat vomit on the bathroom floor. Upon entry to the facility, LPA made the following observation; showers in the facility, primaily for use of residents, are without mold and window sills and screens are in clean, working, condition. Floors appear to be clean and tidy and LPA smelled a clean and fresh scent in the toilet(s) room(s). Interviews have revealed that all staff (S1-S4) have confirmed that it is the staff's job to keep the facility clean, and in tidy fashion, and that all staff will continue to make sure the facility is being kept clean. Based on LPA observations and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. Regarding the allegation, "Staff are not ensuring that resident is receiving medication as prescribed", it is being alleged that a resident has not been receiving their insulin medication. Record reviews have revealed the following: Resident one (R1) medication administration record (MAR) (dated: 12/2024) appeared to be complete, specifically, on the date in question which was 12/26/24. Interviews have revealed the following: all four staff (S1-S4) have confirmed they are to provide residents their medication in a professional and timely manner. All three (R1-R3) residents have confirmed that they do receive their medication at the appropriate time. Based on LPA Record Reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. An exit interview was held with staff one, Allan Palisoc - Lead CNA/Caregiver (S1), and a copy of this report has been provided.