complaint·March 7, 2024

The investigation revealed the following. Regarding Allegation(s): Staff did not ensure that a hazardous item was made inaccessible to resident- It is alleged staff allow hazardous items to become accessible to residents in care. Three (3) out of the three (3) staff interviewed deny this allegation. At 8:52 am, LPA Ramirez toured shred bathroom #1. LPA Ramirez observed a can of Ajax powder bleach cleaner, sitting on top of bathroom cabinet. At 9:10 am. LPA Ramirez toured private bathroom#2 located in resident bedroom#3. LPA Ramirez observed a spray bottle of Clorox Bleach Germicidal Cleaner in bathroom shower. Four (4) out of five (5) residents in the home suffer from cognitive impairments. LPA Ramirez will issue deficiency based on observations. Based on observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . Staff did not maintain the facility in clean and sanitary condition- It is alleged the facility has mold in a bathroom and is dirty. Three (3) out of the three (3) staff interviewed deny this allegation. During tour of private bathroom#2 located in bedroom#3, LPA Ramirez observed blackish spots/and grime around the corner of the bathroom window, behind toilet and near toilet wall, and in between some of the tiles of the shower. LPA Ramirez will issue deficiency based on observations. Based on observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . Deficiencies are being cited today. A copy of this report, 9099-D and appeals rights was provided.