complaint·July 8, 2021

Allegation: Bathroom leak came through the floor into a resident's room. It is alleged Bathroom leak came through the floor into a resident's room. On 04/13/2021 Reporting Party (RP) stated that R1 room was flooded by a water leak from the room above her floor. On 04/15/2021 LPA Calderon interviewed Administrator Lesly Figueroa who could confirm that there was water leak in the room above R1 room, but that the leak had been repaired. On 04/15/2021 and 4/20/2021 LPA Calderon interviewed S2-S7 all confirm the water leak in the room above R1 room, but no one was injured. On 04/20/2021 LPA Calderon interviewed R2-R10 all state there are water leaks all over the facility, but no one had any knowledge of the leak in R1 room. Based on LPA observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division (8) and Chapter (6) are being cited on the attached LIC9099D. A exit interview was conducted with Administrator Peggy Clark, and a hard copy was provided for records. Allegation: Resident was pushed causing injury. It is alleged Resident was pushed causing injury. On 04/13/2021 Reporting Party (RP) stated that R1 was pushed off her bed by another employee. On 04/15/2021 LPA Calderon interviewed Administrator Lesly Figueroa who could not confirm that any staff member pushed or attacked R1 while she was sitting on her bed. On 04/15/2021 and 4/20/2021 LPA Calderon interviewed S2-S7 no employee had knowledge of any staff pushing a resident off their bed onto the floor. On 04/20/2021 LPA Calderon interviewed R2-R10 all did not have any proof that staff pushed R1 off her bed. On 04/20/2021 interviewed R1 who confirmed staff did not push off the bed, but she rolled off the bed when staff turned her on her side to clean her and she kept going and fell to the floor. On 04/21/2021 received and reviewed all facility paperwork for R1, there is no medical record of R1 falling or being injured from a fall from her bed. On 07/01/2021 LPA Calderon interviewed S8 who confirmed she rolled R1 onto her side to start cleaning her body and R1 kept going and R1 fell to the floor. Allegation: Bathroom leak flooded the kitchen. It is alleged Bathroom leak flooded the kitchen. On 04/13/2021 Reporting Party (RP) stated that R1 room was flooded by a water leak from the room above her floor and that this water flooded the kitchen area. On 04/15/2021 LPA Calderon interviewed Administrator Lesly Figueroa who could confirm that there was water leak in the room above R1 room, but that the leak had been repaired and never touched the kitchen. On 04/15/2021 and 4/20/2021 LPA Calderon interviewed S2-S7 all confirm the water leak in the room above R1 room, but no information on a flood in the kitchen area. On 04/20/2021 LPA Calderon interviewed R2-R10 all state there are water leaks all over the facility, but no one had any knowledge of the leak in the kitchen. On 04/22/2021 LPA Calderon inspected the kitchen area and could find no signs of any water damage. Allegation: Hygiene care of residents It is alleged Hygiene care of residents. On 04/13/2021 Reporting Party (RP) stated that staff missed helping clean himself. On 04/15/2021 LPA Calderon interviewed Administrator Lesly Figueroa who confirmed R1 was capable of cleaning himself. On 04/15/2021 and 4/20/2021 LPA Calderon interviewed S2-S7 all confirm staff takes care of residents that need help taking a shower. On 04/20/2021 LPA Calderon interviewed R2-R10 all state that they do not need help from staff cleaning or showering. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.