Complaint·August 6, 2024

The investigation revealed the following: Allegation: Staff are not safeguarding resident's personal belongings. It is alleged that food items that were purchased for R1 are being eaten by staff or being consumed by people other than R1. LPA interviewed 3 staff and 2 out of 3 staff confirmed the above allegation and stated that a previous staff who is no longer employed at the facility (as of last week), would take food that was purchased by residents visitors and instead of giving the food solely to the intended person they would cut the food in half and giving one portion to the intended resident and the other half to another resident. LPA interviewed 4 residents and 2 out of 4 residents confirmed the above allegation and stated that their belongings have either gone missing or have been given to other residents. R1 stated that they do tend to share their snacks and food with others, however, on a few occasions food that was brought for them have gone missing. Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 1 is being cited on the attached LIC 9099D. Exit interview held, a copy of this report and appeal rights was provided. The investigation revealed the following: Allegation: Staff left residents unattended. It is alleged that at approximately 1:30-2:30pm on Thursday August 1, 2024, S2 was observed to be sleeping during there shift and left residents unattended. LPA interviewed 3 staff and 3 out of 3 staff denied the above allegation. It was revealed during interviews that there are currently 3 live-in staff at the facility (one who is in training) and during the disclosed time is the time that staff take their staggered lunch breaks and residents were not left unattended as S3 was in the kitchen cleaning up after residents lunch hour. LPA interviewed 4 residents 3 out of 4 residents denied the allegation and stated they have not been left unattended at the facility and receive assistance promptly when needed. LPA interviewed 1 of the residents family members that was visiting during the investigation and they stated that they have never observed staff sleeping during their shifts and have never experienced staff leaving the residents unattended. Allegation: Staff are mismanaging residents medication. It is alleged that staff administered R1 the incorrect medication. LPA reviewed 5 residents medication with no issues observed, all medication was properly labeled and in their original containers. LPA interviewed 3 staff and 3 out of 3 staff denied the above allegation and stated they are very careful when it comes to medication and have not made a mistake while administering medication. LPA interviewed 4 residents and 4 out of 4 denied the above allegation. Interview with R1, they stated that they are very much aware of the medication they take and what it looks like and have never been given the incorrect medication. LPA interviewed 1 of the residents family members that was visiting during the investigation and they stated that they have been present during medication administration and have never observed any issues. Allegation: Staff did not keep a comfortable temperature for the residents in care. It is alleged that the temperature in the facility is left at an uncomfortable temperature, reaching between 85-90 degrees F, and that the air conditioner is broken. LPA toured facility and observed thermostat in front living room to be at 85 degrees F (which is within the required rage of 68-85 degrees F). LPA observed fans in common areas to be operable. LPA toured each resident room and observed portable air conditioners in each room that were operable. Each resident room was also observed to be at a comfortable temperature. LPA interviewed 3 staff and 3 out of 3 staff denied the above allegation and stated that all residents air conditioners have been operable and the facility is maintained at a comfortable temperature at all times. LPA interviewed 4 residents and 4 out of 4 residents denied the above allegation. (Continued on LIC9099-C) Allegation: Staff are not providing adequate food service to residents. It is alleged that the facility does not provide residents with nutritious food and that the food is horrible. LPA toured kitchen and there was sufficient supply of perishable and non-perishable foods. LPA observed there to be fruits, vegetables, and a selection of different meats. Facility has a pantry and surplus of food in garage refrigerator. LPA interviewed 3 staff and 3 out of 3 staff denied the above allegation and stated that the facility maintains a sufficient about of food at all times with multiple items to choose from, as different residents have different preferences. LPA interviewed 4 residents and 4 out of 4 residents denied the above allegation and stated the food is good and staff are accommodating to their preferences. LPA interviewed 1 of the residents family members that was visiting during the investigation and they stated that their relative is well fed at the facility and the food is of good quality. Based on statements and interviews conducted with staff and residents, review of medications, review of food supply and LPA's observations during tour of facility, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened 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.