complaint·December 22, 2022

Continued from LIC9099 Based on LPAs observations and record reviews, the preponderance of evidence standard has been met, therefore allegationsthat resident sustained multiply injuries due to a fall during a transfer are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter 8), are being cited on the attached LIC 9099D.”) The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided. Continued from LIC9099A Uncleared adults providing care - Based on review of Employee Roster provided by facility there is one staff who is not fingerprinted. Staff works in culinary and does not provide direct care to residents. Three other staff were identified as being cleared but not associated to the facility. Allegations that Administrator did not report unusual incident as required, Facility is not addressing the mold issue and Uncleared adults are providing care are unsubstantiated meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegation occurred. No deficiencies cited.