complaint·December 16, 2024

Evaluation Report continues LIC 9099-C Allegation: Staff did not dispense resident’s medication as prescribed. The details of the complaint alleged that facility staff is not dispensing residents’ medications as prescribed by their physician. During the records review, LPA Iniguez reviewed (R#1-R#5) Medication Administration Records (MARs) from October through November 2024; LPA Iniguez observed discrepancies During the records review, LPA Iniguez examined the Medication Administration Records (MARs) for residents (R#1-R#5) from October to November 2024. LPA Iniguez identified discrepancies in the medication documentation for all five residents.in all (5) residents' medication documentation. In addition, LPA reviewed (R#1-R#5) Physicians assessment or LIC 602A, LPA noted that all (5) residents are not able to administer their own medications. During this investigation, LPA found sufficient evidence to support the above-mentioned allegation. Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), the above-mentioned deficiency was observed, and citation issued (ref. LIC 9099D. ) An exit interview was conducted, and a copy of the Complaint Report was given to Mandy Taylor/Executive Director. Investigation Revealed the Following: Allegation: Staff spoke to resident in an inappropriate manner. The details of the complaint alleged that facility staff spoke to a resident in care in an inappropriate manner. During an interview with the administrator (A#1), she and other facility staff never spoke inappropriately to a resident in care. Also, (A#1) stated that facility staff, including her, treat residents with dignity and respect. During interviews with residents (R#1-R#5), (4) out of (5) stated that they have never spoken inappropriately. During interviews with staff (S#1-S#4), (4) out (4) stated that they have never inappropriately spoken to residents in care and they treat all residents with dignity and respect. Allegation: Staff did not allow resident to have private phone calls. The details of the complaint alleged that facility staff is not allowing residents in care to have private phone calls. During a health and safety check of the facility, LPA Iniguez observed that the telephone is located in one of the common areas. The place has the ability to close the door for more private conversations. During an Interview with the Administrator (A#1), she stated that the residents can make and receive private phone calls, and she and the facility staff have never listened to their private conversations. During interviews with residents (R#1-R#5), (4) out of (5) stated that they can have private phone call conversations. Evaluation Report continues LIC 9099-C During interviews with staff (S#1-S#4), (4) out of (4) stated that the residents are able to have private phone conversations, and they have never been listed to them. Allegation: Staff did not safeguard resident's personal belongings. The details of the complaint alleged that facility staff is throwing away resident’s personal belongings. During the records review, LPA Iniguez reviewed (R#1) 's Client/Resident's Personal Property and Valuables or LIC 621; LPA observed that (R#1) refused to have their personal belongings listed. In addition, LPA reviewed (R#1) 's Physicians Assessment or LIC 602A dated 11/3/2024; LPA noted that it is listed that (R#1) has a cognitive impairment. Moreover, LPA observed that (R#2-R#5) had their inventory list on file. During an Interview with the Administrator (A#1), she stated that the facility is safeguarding residents' belongings and is not throwing them away. During interviews with residents (R#1-R#5), (4) out of (5) stated that the facility is safeguarding their personal belongings. During interviews with staff (S#1-S#4), (4) out (4) stated that the facility is safeguarding residents' belongings and is not throwing them away. Allegation: Staff did not provide resident with prescribed medical garment. The details of the complaint alleged that facility staff is not providing prescribed medical garment to resident in care. During the records review, LPA Iniguez reviewed (R#1)’s medical file, and there was no doctor’s order for a medical garment. Evaluation Report continues LIC 9099-C During an Interview with the Administrator (A#1), she stated that they provide prescribed medical garments if a medical order (R#1) does not have one on file. During interviews with residents (R#1-R#5), (4) out of (5) stated that the facility provides the items prescribed by their physician. Allegation: Staff did not ensure facility floors were maintained in clean condition. The details of the complaint alleged that facility is not clean and sanitary. During a health and safety check of the facility, LPA Iniguez observed that it was clean and sanitary. During an Interview with the Administrator (A#1), she stated that the facility is clean and sanitary. During interviews with residents (R#1-R#5), (4) out of (5) stated that the facility is clean and sanitary. During interviews with staff (S#1-S#4), (4) out (4) stated that the facility is clean and sanitary. During this investigation, LPA found did not find sufficient evident to support the above-mentioned allegations. 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 Mandy Taylor / Executive Director.