complaint·December 27, 2021

Executive Director also stated that currently the facility had some issues with the security system for the pendant. After the pendent was cleared, it would ring again or even the resident was not present in the facility and the pendent would ring itself too. The facility is in the process of fixing it and contacting another company for a new system. Allegation#2 "Residents in wheelchairs are blocking facility exit way." LPA interviewed six (6) residents and all denied the allegation and stated that not seeing any residents in wheelchairs are blocking the exit way. LPA also interviewed staff and all denied the allegation too and reported only sometimes when residents with walker are lining up to the dining room for lunch, it may be crowded there but staff usually would monitor and ensure the residents are standing on the side way and not blocking the entrance or the exit way. LPA observed the situation only happened around lunch time but the staff did step up and monitor the entrance or exit way were not blocked. Allegation#3 " Facility is cold. " LPA interviewed six (6) residents and four (4) residents reported they do not feel the facility or their rooms are cold. LPA interviewed the staff and denied the allegation. The executive director reported the facility thermostat are usually set between 71.5 to 72.5 degrees F. The facility has a AC unit which controlled about 5 to 6 rooms in each unit. The thermostat are all set to 72 degrees, so if the temperature are lower than 72 degrees and the heater will be picked up. For summer time, when the temperature hits 76 degrees, the air conditioning would kick in. LPA observed all the thermostat in the facility and all are set to 72 degrees. Allegation#4 " Resident was not provided medication in a timely manner. " LPA interviewed six (6) residents and four (4) residents denied the allegation and reported they do receive the medication on time and correct medication. They never experienced any medication problems in the facility. The executive director also stated all residents' medication needs to be written ordered or approved by the doctor before administer the medication to the residents. Allegation#5 " Food not being prepared in a safe manner. " LPA interviewed six (6) residents and all residents reported all kitchen staff wears hairnet, gloves and masks while they prepared the food. They do not see any problems or issues with the kitchen staff. LPA interviewed staff and they denied the allegation. The executive director also reported all kitchen staff are required to wear hairnet, masks and gloves while they prepared the food. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore all the allegations are UNSUBSTANTIATED. Exit interview was conducted with administrator Sophia Chan and a copy of report and appeal right was provided.