complaint·March 2, 2022

They never saw any strangers came or walked around the facility. No other resident would walk into their rooms. LPA interviewed staff and staff reported the front door from outside is always locked and visitor has to ring the bell and staff would open the door for them for signing in or screening for COVID-19 procedure. Staff also reported they never saw any strangers walked around from the facility. LPA also toured R1's room, no one would be able to come in from the patio door unless the resident open the patio door and the screen door. Allegation#2 "Resident is being over medicated." LPA interviewed four residents and all reported staff always give them correct medication and dosage and on the right time too. They never messed up their medication. They also stated that no residents ever over medicated in the facility. LPA also interviewed staff and reported they always follow doctor's order for resident medication, they would only give resident medication which doctor prescribed or approved and its never happened for a resident in the facility got over medicated. LPA also reviewed the residents' medication and they are accurate and updated. Allegation#3 " Resident not being provided adequate hygiene services." LPA interviewed four residents and all reported staff are taking good care of them. They always get shower on schedule weekly. And residents reported they have never seen any residents smelled bad or being dirty in the facility. LPA interviewed staff and reported they usually shower residents twice a week or as needed. Staff also reported R1 is independent in all his Activities of Daily Living (ADLs) including showering, dressing and grooming..etc. Its R1's choice not to shower daily or change his clothes. Staff did encourage R1 but they cannot force R1 because it's R1's personal right. Allegation#4 " Staff did not safeguard resident personal information. " LPA interviewed four residents and all reported they never lost anything in the facility and it's safe to live in the facility. Staff are taking good care of them, LPA interviewed staff and no one reported they lost or got stolen any personal information in the facility. Staff reported they would not give out any personal information to anyone unless they got the verbal permission or consent from the residents who are self responsible. If they are not self responsible, they would contact family or conservator and follow the protocol. Based on the interviews conducted, documents reviewed and observation, 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 allegations are UNSUBSTANTIATED. Exit interview conducted. The copy of the report and appeal right was provided to Administrator- Lisa Pham.