complaint·October 5, 2023

Investigation Revealed the Following: Allegation: Staff does not ensure that facility is free of odors. During the physical tour, LPA conducted an entire facility tour with the administrator; LPA did not notice or smell foul odors in the common areas or resident rooms. In addition, when LPA arrived at the facility on 10/5/2023 at approximately 9:30 AM, he observed A#1 and S#1 mopping and cleaning the facility floors with cleaning and disinfecting supplies. During an interview with the administrator(A#1), she stated that she and S#1 mop the floors and clean the surfaces with cleaning and disinfecting products daily (5 times daily) and as needed. In addition, A#1 stated that to prevent odors, she and S#1 clean the facility floors, restrooms, residents’ rooms, kitchen, and other surfaces daily and as needed. During an interview with staff(S#1), he stated that the facility is clean and does not have foul odors. During interviews with residents (R#1-R#4), 4 out of 4 stated that the facility is clean, sanitary, and does not have foul odors or smells. In addition, 4 out of 4 residents stated that the facility staff regularly cleans the facility. Allegation: Staff do not ensure that residents' hygiene needs are being met. During the records review, LPA observed the following: (R#1-R#4) Physicians Report for Residential Care Facilities for the Elderly/LIC 602. In the case of (R#1 and R#2), both can bathe, dress and groom themselves. For (R#3 and R#4) both residents need assistance with bathing, dressing, and grooming. In addition, LPA reviewed (R#1-R#4) the Admissions Agreement; it is stated that these items are included as basic service: Basic hygiene items such as soap and toilet paper, weekly linen changing, and laundry service. Evaluation Report continues LIC 9099-C During an interview with the administrator(A#1), she stated that every day, there are two staff members, including her, tending to the needs of the residents, and on the weekends, there are three staff. In addition, (A#1) stated that the hygiene needs of the residents are being met by the facility, which follows a weekly bathing schedule and as needed. During an interview with staff(S#1), he stated that the facility is meeting the hygiene needs of the residents, and they bathe them every day and as needed in case of incontinence problems. During interviews with residents (R#1-R#4), 4 out of 4 stated that the facility meets their hygiene needs and takes showers or baths daily or when needed. 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 is 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, therefore the allegations are unsubstantiated. California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted, and a copy of the Complaint Report was given to Glenda Marquez /Administrator. Allegation: Staff does not ensure that facility is maintained clean and sanitary. The details of the complaint alleged that the facility is not clean and sanitary. During the physical tour, LPA and the administrator toured the entire facility; while touring the facility, LPA observed dog feces in one of the bathrooms used by the residents. LPA proceeded to take a photo as evidence of the investigation. The administrator cleaned the feces at that moment. In addition, while touring the back patio, LPA observed cluttered items that could be a potential fall hazard for residents. LPA proceeded to take a photo of these items as evidence of the investigation. Also, LPA observed five small dogs and a dog playpen inside one of the resident rooms; LPA asked the administrator who is the owner of the dogs. The administrator replied: "There are mine." LPA took a picture as evidence. During the records review, LPA looked at the Facility Program Description in the facility's physical file. The facility does not have pets or therapy pets included in the program. LPA consulted with LPM regarding the dogs, LPM stated that if the facility wants to keep the dogs, they need to submit an addendum to their Admissions Agreement, an addendum to the Plan of Operations, a signature of all residents and their representatives stating that they are okay with the dogs being inside the facility and all dogs must be licensed and with their current shoots. Allegation: Facility is in disrepair. The details of the complaint alleged that the facility is in disrepair. During the physical tour, LPA Iniguez and the Administrator toured the entire facility; LPA found a shattered window panel from the resident's closet in one of the residents' rooms. Also, LPA observed rust in the railing of closet doors in 3 residents' bedrooms. LPA proceeded to take pictures as part of the investigation. Evaluation Report continues LIC 9099-C During this investigation, LPA found sufficient evidence 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 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 Glenda Marquez/Administrator.