complaint·May 7, 2024

Interview conducted with administrator revealed administrator has been in the field as an administrator since 1990. Documents reviewed revealed facility’s assigned administrator Rosalie Sandoval, has an administrator certificate #6012456740 with expiration date 1/24/24 and renewal documents were mailed out to the department on 12/14/23. Administrator’s personnel record dated 6/9/16 lists education and previous employment. Administrator meets the requirements for education and experience per Title 22 Regulations for a facility of capacity of 50 residents and over. 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 . Regarding allegation: Facility staff failed to give resident P&I funds . It is alleged most of the residents don't receive their P&I money. Interviews conducted with residents revealed 3 out of 5 residents stated to receive P&I funds once a month on the first day of the month or the Friday before the first of the month. They stated to not be denied their funds at any time. 1 out of 5 residents stated to handle own funds and 1 out of 5 residents was not able to provide an answer due to cognitive skills. Interviews conducted with staff revealed residents received P&I funds and they have not complaint that their money is being denied. Per staff there is only one resident who may state funds are not being provided. However, this resident no longer receives P&I funds due to funding source change. Facility keeps a trust bank account in which P&I funds for the residents, a balance was observed. A check request form was observed for the facility for the month of May 2024 with petty cash provided to the facility for the amount of $4000.00 from which P&I funds were provided to the residents. Each resident who receives P&I funds has a safeguarded cash resources form and the amounts withdrawn and balance is noted in each form with staff and residents' signatures. 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 . Regarding allegation: Facility administrator does not allow resident to file complaint to public agencies. It is alleged “executive director is untouchable, so no one can complaint to the Licensing and Ombudsman” agencies. LPA toured the common areas and observed Complaint Hotline for Department of Social Service poster posted outside the medication room and Local Ombudsman poster in the hallway across the dining room and in the entrance of the facility. (CONTINUED ON LIC 9099C) Interviews conducted with residents revealed 3 out of 5 residents are aware of the name of the agencies to call to complaint 2 out of the 3 residents are aware were to find the phone numbers. 1 out of 5 residents was not aware of the complaint phone numbers or agencies to complaint and 1 out of 5 residents was unable to answer due to cognitive skills. Interviews with staff revealed residents know were to complaint and the staff point to the posters when they inquire about where to complaint. 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 . Regarding allegation: Facility staff are not properly trained. It is alleged that staff are not trained properly to meet the needs of the residents. Interviews conducted with residents revealed 3 out of 5 residents feel staff are knowledgeable of their responsibilities. 2 out of 5 residents were unable to provide an answer due to cognitive skills. Interviews with staff revealed staff received training consistently throughout the year, each training provided is for an hour, and staff received initial training when hired. Documents reviewed reveal staff have received 40 hours of initial training and 20 hours of training on Documentation, Monitoring Residents, Emergency Procedures, Incident Reports, Medical Emergencies, Personal Care, Personal Rights, Medications, Hospice, Dementia, Activities of Daily Living, Recreation, End of Life Care, Food Services, Basic Care, Resident Care and Supervision. Personnel Record for each staff list staff’s education and experience and each staff is over 18 years old. 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 . Exit interview was conducted with Rosalie Sandoval and a copy of this report was provided.