complaint·May 23, 2023

(6) of (6) Residents interviewed could not corroborate the allegation. Interviews with staff show that low pressure toilets were being changed in the facility to replace them with better ones. No toilet was broken or non operational and all residents in rooms where the bathroom toilets were being changed, were provided with assistance in using other restroom toilets or commodes if they preferred. Interviews with R1 show that staff provided R1 with a commode and there were other restrooms in the facility for R1 to use. R1 used the commode with staff assistance. Based on interviews conducted; Although the allegation 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 allegations are unsubstantiated. In regards to the allegation "Facility is not obtaining renewed medication timely" it was alleged that the facility staff is not receiving and providing R1 with their medication in a timely manner. (5) of (5) Staff interviewed denied the allegation. (5) of (6) Residents interviewed could not corroborate the allegation. Interviews show that R1 contacted his physician for medication changes. R1's family member picked up new medications and dropped them off to R1 without notifying the facility staff. S1 stated that R1 is not able to handle their own medication and so they had a conversation with R1 regarding medication management and that staff cannot provide R1 with the new medication unless they also confirm the physicians order for it. Once the medication order was confirmed, staff began to provide R1 with the medication. Staff denied not obtaining R1's medication in a timely manner. Based on interviews and file review conducted; Although the allegation 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 allegations are unsubstantiated. Exit Interview conducted and a copy of this report was provided. (6) of (6) Residents interviewed could not corroborate the allegation. Interviews and file review show that administrator Mona Tirado last day at the facility was on 2/12/21. Between 2/12-3/10 there was an interim administrator Lori Waters assisting the facility, but documents for change of administrator were not provided to Licensing in this time. It was not until May 2021 when Licensing received documentation for change of Administrator to Sophia Chan. This shows that facility failed to maintain a qualified and currently certified administrator. Based on LPA's interviews and records reviewed, the preponderance of evidence standard has been met, therefore the allegations are found SUBSTANTIATED. California Code of Regulations Title 22, Division 6, Chapter 8 are being cited on the attached LIC 9099D. Exit interview held and a copy of the report and appeal rights was provided and discussed.