complaint·April 21, 2021

The investigation revealed the following: Regarding allegation " Staff member intimidated resident ," based on interviews conducted with staff and residents no one has been intimidated or treated in rough manner. During interviews with staff they all stated they have not seen or heard any resident be treated rough or be intimated by any other staff member. Staff interviewed also stated they have not been told by any resident that they are or were being intimidated. All residents stated they have never been intimidated. Regarding allegation " Facility is not following universal precautions ," it was alleged that staff was reusing gloves and not changing gloves between residents or after changing a residents diaper. Based on records reviewed and interviews conducted the facility conducts monthly in-service training regarding universal precautions, PPE usage, and Infection prevention. Records also revealed the facility orders PPE on a monthly basis and they also receive some from other agencies. All interviews revealed that staff changes gloves after each use and have not been limited on gloves or asked to use the same gloves. All residents stated they see staff wearing gloves while changing them and disposing the gloves in the trash after being changed. 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 allegations are unsubstantiated. No Deficiencies cited under California Code of Regulations Title 22. An exit Interview was conducted via telephone with the Assistant Administrator and a hardcopy was provided via email for signature. Signatures on hardcopy. The investigation revealed the following: Based on interviews conducted, LPA learned staff are to check on residents every two (2) hours to see if they are in need of incontinent care and provide showers for residents two (2) times a week. All residents stated they do receive their two (2) showers a week. However, four (4) out of seven (7) residents stated they are not changed or checked on during the night shift for a diaper change. Per Solorio, the facility did not have a logging system for showers and diaper changes before but have recently implemented a log sometime in mid March of 2021. The facility was only keeping records of shower refusals by residents. Based on interviews and information obtained the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Deficiency is being cited according to California Code of Regulations, Title 22, Division 6, Chapter 1, Article 11. See LIC 9099D. A telephonic exit interview was conducted with Assistant Administrator and Appeal Rights were provided. A hard copy of the report was emailed for signature.