complaint·October 27, 2022

LPA/RA Ceniceros interviewed (between 8:15 a.m. - 9:30 a.m.) two (2) staff members (A2 and S2), in care. Resident #1 could not be re-interviewed as the resident was transferred to a skilled-nursing facility following hospitalization on (03/20/22). LPA/RA Ceniceros reviewed (between 9:30 a.m. – 10:15 a.m.) the requested documents: Admissions Agreement (dated 12/30/21), Emergency I.D. & Information (dated 12/30/21), Physician’s Report (dated 12/21/21), Pre-placement Appraisal (dated 12/30/21), ALWP ISP (dated 07/20/21), Functional Capability Assessment (dated 04/13/22) for Resident #1 (R1); Staff & Residents' rosters; "Care Companion" program app (via iPhone). Regarding Allegation #1 : this investigation revealed based on interviews conducted corroborated that the facility staff alternates diapering needs every two (2) hours. A review of R1's Assisted-Living Waiver Program's (ALWP) Individual Service Plan (ISP) documented under: Need/Concern: Participant is at risk of incontinence due to periods of weakness and diminished physical functioning (Pg 9 of 12). A review of R1's Admission Agreement on Pg 19 documented: Full Level 4 Care: Toileting. A review of R1's Physician Report documented under: Physical Health Status: Yes bowel and bladder impairment; Able to care for toileting needs? No. Facility utilizes a "Care Companion" program app (via iPhone) to monitor all residents who require full-service care; and, via cell phone (w/the program app) is assigned to the "on-duty" caregivers and med techs who documents their entries once a resident has been checked for incontinence care. [LPA/RA Ceniceros observed the Care Companion program app demonstration (via Staff #2's assigned cell phone.)] Based on the evidence gathered and interviews conducted and records reviewed, 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 of NEGLECT/LACK OF SUPERVISION: Resident's diapering needs were not met is found to be UNSUBSTANTIATED. Regarding Allegation #2 : this investigation revealed based on interviews conducted corroborated that the caregivers provide hygiene needs to the residents that require full-service care. A review of R1's Assisted- Living Waiver Program's (ALWP) Individual Service Plan (ISP) documented under: Physical / Health: Requires assistance to complete ADLs (Pg 7 of 12). A review of R1's Admissions Agreement (Pg 19) documented: Full Level 4 Care: Assistance with grooming. A review of R1's Physician Report documented under: Physical Health Status: Att risk if allowed direct grooming and hygiene items? Yes; under: Capacity for Self Care: Able to groom self? No. Facility utilizes a "Care Companion" program app (via iPhone) to monitor all residents who require full-service care; and, a cell phone (w/the program app) is assigned to all "on-duty" caregivers and med techs who documents their entries once a resident has been checked for hygiene needs. [LPA/RA Ceniceros observed the "Care Companion" program app demonstration (via Staff #2's assigned cell phone.)] Based on the evidence gathered and interviews conducted and records reviewed, 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 of NEGLECT/LACK OF SUPERVISION: Resident's hygiene needs are not being met is found to be UNSUBSTANTIATED. An exit interview was conducted and a copy of the Complaint Report provided to Medication Technician, Katie McDonald.