complaint·June 2, 2021

Interviews conducted with Administrator and Office Manager revealed that facility has not refused to provide medical records to FR1. Facility is currently in contact with FR1 and FR1 has been advised she can pick them up or they can be emailed to her. Facility will be obtaining correct email address for FR1 and will email documents to FR1. Therefore there was insufficient evidence to corroborate with this allegation. In regards to the allegation " residents not accorded privacy during diaper changes", it is alleged that staff members leave residents bedroom doors open during diaper changes. Interviews conducted with staff members all indicated that residents bedroom doors are always shut during a diaper change in order to provide them with privacy. During tour of facility, LPAs did not observe any staff member providing a diaper change with residents door open. 8 out 10 residents interviewed indicated that they have not observed facility staff conducting diaper changes with resident doors open. Therefore there was insufficient evidence to corroborate with this allegation. Based on statements and interviews conducted with staff, residents, review of resident files and facility file records, there was not enough supportive evidence to concur with the reported allegations. 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 allegation is UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided. Additionally one of the staff members interviewed indicated that they have witnessed S1 yell at residents. 3 out of the 10 residents interviewed indicated that they have witnessed S1 yell at residents. Interview with S1 revealed that she does raise her voice, however does it with residents who are hard of hearing. Therefore there was sufficient evidence to corroborate with this allegation. Based on LPAs observations and interviews which were conducted record review, 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 LIC 9099D. Exit interview held and a copy of this report was provided.