complaint·November 7, 2024

Continued LIC9099-C page 2 Training on reporting dependent adult and elder abuse, staff in-service training, and ongoing staff training. Allegation: Staff do not ensure a comfortable living environment for residents The department interviewed staff members 1-4 (S1-S4) and residents 1-9 (R1-R9) they all stated the facility staff provides residents with a comfortable living environment and meets their daily care needs. S1-S4 and R1-R9 stated that residents with dementia do not walk up and down the halls at night screaming or banging on other residents' doors. S1-S4 and R1-R9 denied the allegation. Allegation: Staff do not prevent residents from entering other resident's rooms The department interviewed staff members 1-4 (S1-S4) and residents 1-9 (R1-R9) who stated the facility staff take measures to prevent residents from entering other residents' rooms. S1-S4 and R1-R9 explained that room doors automatically lock when residents leave their rooms and require a key to unlock the door. They also stated that female residents are not seen running down the hallway screaming, "Get out of my room!" S1-S4 and R1-R9 denied the allegation. Allegation: Staff do not meet residents’ modified dietary needs. The department interviewed staff members 1-4 (S1-S4). All staff stated that the cook follows a meal plan and serves nutritious meals three times a day, seven days a week. S1-S4 explained that if a resident is on a modified diet prescribed by a physician as a medical necessity, staff follow the physician’s orders. S1-S4 stated that the resident in question was not on a restricted or modified diet. They also stated that residents can request substitutions if they do not like the meals served. S3 noted that while not all residents may love every meal, the menu offers a variety of food options to accommodate preferences. S3 reiterated that she follows the meal plan and ensures nutritious meals are served daily. The department also interviewed residents R1-R9. R1 stated that the facility served food to which he was allergic and described the food as not good or nutritious. R2-R9 reported that the food was delicious and that they had no issues with the meals provided. S1-S4 and R2-R9 also stated that residents have alternative meal options if they dislike what is served. The department reviewed the facility’s meal plan and determined that the total daily diet meets the quality and quantity necessary to meet residents’ needs. S1-S4 and R2-R9 denied the allegation. See continued LIC9099-C page 3 Continued LIC9099-C page 4 Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. 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, therefore the allegation is deemed unsubstantiated. A copy of the Complaint Investigation Report LIC9099, and LIC9099-Cs was provided to the Co-Executive Director Jonathan Barrios. There were no deficiencies cited. An exit interview was conducted. Continued LIC9099-C page 2 On 11/07/2024, Co-Executive Director Jonathan Barrios and LPA observed the air conditioning unit in room 220 was operational and in good repair. The Department obtained copies of the following documents: The staff and residents roster, admission agreement, physician's report, medical assessment, medication administration records (MARs), consent forms, replacement appraisal information, identification and emergency information, appraisal needs and service plan, safeguards for property/valuables , special incident report, staff in-service training, ongoing staff training, a video, and photos of room 220 air conditioner unit resident bed, and mattress. Allegation: Staff did not safeguard the resident’s personal belongings. Staff members S1–S4 and residents R2–R9 stated that facility staff are safeguarding residents’ personal belongings. S1 and S2 acknowledged that water was dripping from the air conditioning (AC) unit in the resident’s room, located on the right side of the resident’s bed. They stated that the water had soaked the linens and mattress. S1 and S2 also confirmed that the AC unit was repaired, and the resident’s mattress is now dry and undamaged. Resident R1 provided a video and photos as evidence showing water dripping from the AC unit onto the bed, and wetting the linens and mattress. Residents R2–R9 reported that their AC units were in good working condition and did not experience any water leakage. S3 stated that she had no knowledge of the AC unit leaking water. S4 indicated that he was not employed at the facility during the time of the alleged incident and had no knowledge of the matter. During an inspection of R1’s room, the mattress was observed to be dry and in good condition, with no visible need for replacement. Based on the Department's observations, interviews that were conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6, and Chapter 8 are being cited on the attached LIC9099-D. Appeal rights were discussed, and copies of the Complaint Investigation Report LIC9099-A, LIC9099-C, and LIC9099-D were provided to Co-Executive Director Jonathan Barrios. An exit interview was conducted.