complaint·May 18, 2023

Regarding the allegation that staff did not inform authorized representative of incidents, Staff interviewed denied the allegation. They stated that staff do inform authorized representatives of incidents. Residents interviewed were unable to corroborate the allegation. 10 out of 11 residents interviewed, stated that their authorized representatives are notified of incidents, or indicated that they did not have an authorized representative. Regarding the allegation that staff do not change resident timely, Staff interviewed denied the allegation. They stated that residents who receive assistance with toileting, are provided with assistance as soon as they request it. Staff indicated that residents call staff, by using the call light in their room. Staff stated that the call light notification is received by the front desk, and the front desk notifies staff by paging them. The front desk lets staff know which resident(s) need assistance. Residents interviewed were unable to corroborate the allegation. 10 out of 11 residents indicated that they are assisted by staff in a timely manner. Regarding the allegation that resident #1 is double diapered due to staff neglect, staff interviewed stated that resident #1 requests to be double diapered. Staff interviewed indicated that resident #1 leaves the facility, on his own, and wants to be double diapered since he is often gone for extended periods of time. Residents interviewed were unable to corroborate the allegation. 8 out of 11 residents interviewed, stated that they are not double diapered. 2 out of 11 residents stated that they are double diapered at night, but they don't have a problem with it. Regarding the allegation that due to staff negligence, resident was left on the toilet for an extended period of time, staff interviewed denied the allegation. Staff interviewed stated that residents are not left on the toilet for a long period of time. Staff stated that they assist residents in transferring to the toilet, and they wait if the resident wants them to wait, or they leave and come back within 5 minutes. Residents interviewed were unable to corroborate the allegation. 10 out of 11 residents stated that they have never been left on the toilet for an extended period of time. Based on LPA's observations and interviews, investigation revealed: 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 unsubstantiated. No Deficiencies cited under California Code of Regulations Title 22. Exit interview conducted, and a copy of report was provided to Administrator, Lisa Pham.