complaint·September 12, 2023

Interviews with 4 out of 7 residents revealed they did not have a call button in their room and were not able to provide a reason to not having one. 3 out of 7 residents interviewed revealed to have a working call button and staff respond to the call button. Interviews with staff revealed residents should or have a call button in their rooms. Interview with assistant administrator revealed that some call buttons have been in disrepair or residents have lost them and the facility is going through the process of repairing/replacing them as they were not aware. Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED . California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. Exit interview was conducted with Alexander Solorio Assistant Administrator and a copy of this report, LIC 9099D, and appeal rights were provided. Interviews with 3 out of 7 residents revealed that residents usually scream to call the staff and they do not come right away. 3 out of 7 residents stated that when they use the call button staff come to assist them. 1 out of 7 residents stated to not be able to use the button and prefers to use cellphone and staff do not respond. Interviews with staff revealed staff respond to residents' calls. During the facility tour LPA Flores tested the call buttons in 3 resident rooms. Staff responded to the calls within one minute each time and ask the resident if they can assist them. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. Regarding allegations: Staff are not providing adequate food service to residents and Staff are not meeting resident's dietary needs . It is alleged that the food is substandard and not nutritional and resident who is diabetic was told to make own diabetic menu. Interviews with 5 out of 7 residents revealed facility provides all nutritional items. 2 out of the 5 residents stated even if the food is bad, or does not provide alternatives facility provides a nutritional meal. 2 out of 7 residents interviewed stated the food does not meet nutritional guidelines or facility does not follow special diet guidelines. Interviews with staff revealed kitchen staff follow menus and recipes to prepare meals for all residents and for those with special diets. Staff stated plates are label with residents names for those with special diets. During facility's kitchen tour LPA observed special diet list board and residents needs and care plan posted in the kitchen's wall. Food store in refrigerators and pantry was observed to be a variety of fresh fruits and vegetables, frozen vegetables, proteins,sufficient grains and breads. Document review revealed 2 out of 7 residents had a special diet per physician's report and resident's information/care plan for each note food pref./diet for facility's care to be provided for those two residents. Menus have a variety of food items which provide a protein, a carbohydrate, vegetables/fruits in each meal and an alternative menu sheet is available for residents to choose from. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. Regarding allegation: Staff did not prevent resident from engaging in inappropriate behaviors. It is alleged resident who was COVID 19 positive was yelling, “Don’t tell me what to do!” while staff were trying to get him to his room and another resident had flip tables in the dining room. (CONTINUED ON LIC 9099C) Interviews with 2 out of 7 residents revealed staff intervene when they observed residents having behaviors, 2 out of 7 residents stated to not have observed any disruptive behaviors in the facility, 2 out of 7 residents stated behaviors have happened and staff have not stopped it, and 1 out of 7 residents was unable to answer as assistance with care was to be provided at that time. Interviews with staff revealed incident of resident with COVID 19 did occur. However, the resident was being redirected to the room to quarantine. Regarding the other resident flipping the table they stated resident got impatience waiting for the food to be served, however the staff was present and are always around to assist or redirect. Document review revealed on 8/23/23 and incident report was submitted to the department noting incident of resident becoming inpatient and breaking dining room furniture. Facility created has a plan in place for that resident. Incident report dated 9/12/23 address the incident of resident with COVID in which notes staff redirected resident to the room. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Regarding allegation: Staff are not meeting residents' needs. It is alleged resident yells for hours for help or water. Interviews with 4 out of 7 residents revealed staff provide assistance when needed and or are meeting their needs. 3 out of 7 residents stated to not being provided assistance when needed and have to wait for hours to be care for. Interviews with staff revealed staff respond promptly to residents calls and or needs and are aware of the residents needs upon admission or returning from the hospital. Assistant administrator stated that for residents with more needs staff have a chart to track every time they are providing care. During facility's tour LPA observed a chart in room #40 which noted on 9/12/22 staff provided water to the resident at 8:00am and 9:17am. Document review revealed each resident has a current needs and service care plan in place. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted with Alexander Solorio Assistant Administrator and a copy of this report was provided.