Complaint·August 30, 2024

Continued LIC9099-C page 2 These tests confirmed that the doorknob in room #229 can be unlocked and is fully functional and in good repair. The overall condition of the facility was evaluated as clean, safe, sanitary, and well-maintained. LPA Bunker requested copies of supporting documents. Allegation #1 Staff do not treat residents with dignity or respect Interviews were conducted with staff members 1-3 (S1-S3) and residents 3-7 (R3-R7). They all stated that the staff always treated residents with dignity and respect and that the staff did not disrespect any residents. S1-S3 and R3-R7 stated staff does not scream and yell at residents, staff ensures residents are safe, healthy, and in a comfortable environment, and that residents' daily needs are met. R1 stated that the staff screams and yells at residents. R2 was not available for an interview. S1-S3 stated they do their best to keep residents free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other punitive actions that may interfere with their daily living functions. S1-S3 and R3-R7 denied the allegation. Allegation #2 Staff do not safeguard resident's personal items Interviews were conducted with staff members 1-3 (S1-S3) and residents 3-7 (R3-R7), states staff does safeguard resident's personal items and mail. R1 stated staff stole mail and personal items. S1-S3 stated that R1 stole and was caught on camera stealing from staff and other residents. S1-S3 stated the police came to the facility looking for R1 because the neighbors reported that R1 was stealing in the neighborhood. R1 would not allow the police officers inside the room to do a search. S1-S3 stated staff safeguarded residents' personal belongings in accordance with Title 22 Regulations. S1-S3 and R3-R7 denied the allegation. Allegation #3 Staff do not address resident behavior Interviews were conducted with staff members 1-3 (S1-S3) and residents 3-7 (R3-R7), stated staff does address resident behavior. S1-S3 states if there is a concern they will address the problem immediately. They do everything they can to resolve any issues that occur and a resident is having. S1-S-3 and R3-R7 denied the allegation. See continued LIC9099-C page 3 Continued LIC9099-C page 3 Allegation #4 Staff do not ensure that sharp objects are inaccessible to residents Interviews were conducted with staff members 1-3 (S1-S3) and residents 3-7 (R3-R7), who stated staff does ensure that sharp objects are inaccessible to residents. S1-S3 and R3-R7 stated they did not witness any resident being chased with a knife. R2 was unavailable for an interview. R2 was out in the community. S1-S3 stated that the staff ensures that care and supervision are met to meet residents' needs. S1-S3, R1, and R3-R7 denied the allegation Allegation #5 Staff do not keep the facility free from cockroaches LPA interviewed S1-S3 and R3-R7 who stated that the facility did not have any cockroaches. S1-S3 and R3-R7 stated that the facility has a pest control company that provides ongoing pest control treatment to the facility. S1-S3 and R3-R7 stated that an exterminator comes out to the facility regularly to ensure that the facility is free from cockroaches. R2 was not available for an interview. R2 was out in the community. Based on the records review, a record of pest control services are conducted 2 times a month by Enviroworx Pest Control and more if needed LPA did not observe cockroaches in the facility during today's visit. S1-S3 and R3-R7 denied the allegation. Allegation #6 Staff do not keep the facility free from bed bugs LPA interviewed S1-S3 and R3-R7 who stated that the facility had bed bugs in the past. The facility no longer has any bed bugs. S1-S3 and R3-R7 stated that the facility has a pest control company that provides ongoing pest control treatment to the facility, and the exterminator comes to the facility to ensure that the facility is free from bed bugs. R2 was not available for an interview. R2 was out in the community. Based on the records review, a record of pest control services is conducted 2 times a month by Enviroworx Pest Control and more if needed. LPA did not observe any bed bugs in the facility during today's visit. S1-S3 and R3-R7 denied the allegation. Allegation #7 Staff do not keep the facility clean and sanitary LPA interviewed S1-S3 and R3-R7 who stated that housekeeping keeps the facility clean and sanitary at all times. S1-S3 and R3-R7 stated housekeeping cleans the facility every day. S1-S3 and R3-R7 stated the facility is clean, safe, sanitary, and in good repair at all times for the safety and well-being of clients, employees, and visitors. See continued LIC9099-C page 4 Continued LIC9099-C page 4 S1-S3 stated the facility staff take every measure to keep the facility free of cockroaches, bed bugs, flies, and other insects. S1-S3 and R3-R7 denied the allegation. Allegation #8 Resident's door is in disrepair. LPA interviewed S1-S3 and R3-R7, who all stated that the resident's door was not in disrepair. S1-S3 stated residents' bedroom doors and doorknobs are in working and operable condition. S1 and LPA Bunker toured seven resident bedrooms 108, 111, 113, 114, 115, 201, 215, 218, 219, 222, 228, and 229. During the tour, S1 and S2 checked the resident bedroom doorknobs, all doors were functioning properly. The door and doorknobs were found to be in working order in all resident rooms. R1 stated that R2 knocked on her door and broke the doorknob. S1-S3 and R3-R7 denied that the resident's door was in disrepair. Investigation revealed the following: Investigation revealed the following: Interviews with staff members 1-3 (S1-S3) and residents 3-7 (R3-R7) revealed that staff treat all residents with dignity and respect. S1-S3 stated that R1 frequently reported items as stolen or missing. However, after facility investigations, it was discovered that R1 was the individual caught stealing. S1-S3 stated that R1 was captured on camera stealing from the basement, as well as from both staff and other residents. S1-S3 explained that each resident is provided with a single cabinet secured by a padlock to enhance security and protect their valuable assets or confidential documents. R3-R7 stated that staff safeguard residents' personal belongings. S1-S3 and R3-R7 stated that staff appropriately address any aggressive behavior from residents, and sharp objects are kept inaccessible to them. S1-S3 and R3-R7 also stated that the facility does not have any cockroach or bed bug infestations. S1 provided copies of invoices from Enviroworx Pest Control and Orkin, confirming that the facility is free of insects, cockroaches, and bed bugs. S1-S3 and R3-R7 stated that the facility is clean, safe, sanitary, and well-maintained. S1-S3 mentioned that staff take every measure to keep the facility free of flies and other insects. S1-S3 stated that residents' bedroom doorknobs were in working and operable condition, and all doors were functioning properly. S1-S3 and R3-R7 stated that any problems the facility encounters are addressed and resolved immediately. If there were any issues, S1-S3 stated that staff would have reported them to the appropriate agencies in a timely manner. During today’s visit, no problems were observed, and the doorknobs were found to be in good condition. S1-S3 and R3-R7 all denied the allegations. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. 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 is deemed unsubstantiated. A copy of the Complaint Investigation Report LIC9099, and LIC9099-C, was provided to Assistant Administrator Cesilia Torres. There were no deficiencies cited. Exit interview conducted.