complaint·March 9, 2023

Based on today's investigation record review, observations and interviews by LPA Calderon. The investigation revealed in regards to allegation: Staff do not assist resident with toileting. LPA interview with Lupe, Claudia, S1 and S2 all who denied the above allegation stating residents get assistance as needed and caregivers do their rounds every 2 hours. LPA Calderon interviewed R2 and R3 who stated are incontinence residents staff help with toileting needs and denied the above allegation. LPA Calderon observed Caregiver staff responding in a timely manner when call system in residents rooms were pushed, room #4, room #5, and room #32. Investigation revealed in regards to allegation: Staff locked resident in bathroom. LPA Calderon interview Lupe, Claudia, S1 and S2 and all denied the above allegation starting resident(s) are not locked in restroom. LPA interview R2 and R3 and denied they do not get locked in restrooms and not aware of others being locked. LPA observed R1's room and first floor common restrooms door / knobs which has no ability lock to from the outside to lock residents in restrooms. Investigation revealed in regards to allegation: Facility is not providing a safe environment for residents. LPA Calderon interview Lupe, Claudia, S1 and S2 and denied the above allegation stating facility is a safe place for residents in care. LPA Calderon interview R2 and R3 who denied the above allegation and stated facility is a safe environment. LPA Calderon review a SIR pertaining to R1's safety, facility providing R1 with medical assistance for R1's mental health and safety needs. LPA Calderon observed common areas inside and outside and resident's rooms. Facility was free of hazard, safe with ramps, handle bars/ grab bars, pathways were clear and free of obstructions, open space, exit doors had alarm system, adequate lighting and operating call systems in residents rooms. 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 allegations are UNSUBSTANTIATED . Exit interview held and copy of the report was provided to Administrator Lupe Harvey.