complaint·July 16, 2024

During interviews with the residents, one (1) out of six (6) residents interviewed corroborated the allegation that at times the facility does not have enough food. One of the residents interviewed stated that the food supply is "up and down" at times. Another resident interviewed stated that they get enough food and haven't been aware of the facility being out of food in the past. During interviews with the staff, zero (0) out of three (3) interviewed stated that they do not have a sufficient food supply. One of the staff interviewed stated that they make sure that every resident gets food when they request for it. Another staff interviewed stated that residents get three (3) meals per day along with snacks, and that grocery shopping is done every week. Upon checking the facility's perishable food supply, LPA determined the required 2-day supply was not met for the six (6) residents living in the facility. In regards to the allegation that "Staff would not allow resident to have a visitor," it is alleged that family members of R1 have not been allowed to visit R1 since 7/3/2024 due to R1's Power of Attorney (POA) request that they do not visit R1 due to safety concerns. During interviews with the Residents, one (1) out of six (6) residents interviewed did not corroborate the allegation. R1 explained during the interview that they would actually like their family that was prevented from visiting them on 7/15/2024 to visit them. None of the other residents interviewed stated that they are prevented from receiving visitors at the home. During interviews with the staff, none of them corroborated that they are improperly restricting the visitation rights of residents. One staff member interviewed stated that R1 has been financially abused and neglected by the family members in the past, and that is why R1's POA has requested that the other family members of R1 do not visit them at the facility. During record review of R1's POA document LPA did not observe anything in writing indicating that POA can restrict R1's visitation rights. LPA was not provided any legal documentation indicating that R1's visitation rights can be restricted by the facility staff. In regards to the allegation "Facility staff restricting resident's telephone access," it is alleged that the facility staff are not picking up calls from R1's family who have been attempting to contact R1. During interviews with the residents, one (1) out of six (6) residents interviewed indicated that they do not have access to speak with their family through the facility's phone. During an interview with R1 they stated that they have not been allowed to speak with their family members by phone, and they are not aware of the reason why they haven't been allowed to speak with their family. Another resident interviewed stated that sometimes there will be an individual using the phone so it is not immediately available, however it is typically always available. During interviews with the staff, two (2) out of three (3) corroborated that phone calls were restricted for R1's family. One staff interviewed stated that have been advised not to answer the phone whenever the family of R1 calls, and that R1's family calls from various phone numbers. Another staff interviewed was told that R1's POA has a preference that the facility staff do not accept calls from R1's other family members due to the potential for abuse, and therefore they have not been taking R1's family's calls, nor have they been notifying R1 that they are received calls from R1's family. Based on LPA interviews conducted with the clients and staff, the preponderance of evidence standard has been met for the above allegations, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations Title 22, Division 6, Chapter 8 are being cited on the attached LIC9099Ds. Exit interview held and a copy of the report and appeal rights was provided to the administrator Iwona Kaya. During interviews with the residents, zero (0) out of six (6) interviewed stated that staff have left them in the bathroom unassisted. During an interview with R1, they stated that they receive assistance with their toileting needs from the staff, and they have never left them in the bathroom when they required assistance. Another resident interviewed stated that they get assistance with their incontinence care from the staff at the facility. Other residents interviewed stated they do not require assistance with their toileting needs. During interviews with staff, zero (0) out of three (3) interviewed did not corroborate the allegation. One staff interviewed stated that they assist R1 with wiping personally by using specialized wipes that they keep in the resident rooms, and when R1 claims they are done toileting they call for this staff member, and the staff always assists in cleaning the resident afterwards. LPA observed the supply of wipes that were kept in the resident's room. Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegations. 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. Exit interview held, and a copy of this report was provided.