complaint·October 13, 2023

Continued Regarding the allegation Residents went AWOL due to lack of supervision. LPA reviewed facility Incident Report documenting Resident 2 did elope from the facility on 04/17/2022. LPA reviewed Monterey County Emergency Records confirming on 04/17/2022 Resident 2 eloped from the facility. Based on records reviewed during this investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED at this time. Failure to correct the deficiency may result in civil penalties. At the time of the complaint inspection on 10/13/2023 , licensee was informed that violation is currently under review and a future civil penalty may apply based on Health and Safety Code § 1569.49. The following deficiencies are being Cited Per Title 22 Regulations. Exit interview conducted with Facility Administrator Joy Harden, and a copy of this report along with appeals rights provided. Regarding the allegation Staff did not assess resident prior to admission. LPA reviewed records including documents titled “Resident Assessment” and “Physician’s Report” for Resident 2. The facility has all the documents required to admit Resident 2 into the facility. Based on interviews, and records reviewed during this investigation we have found that the complaint was unfounded, meaning that the allegation is false, could not have happened and/or is without reasonable basis, therefore, we have dismissed the complaint. No deficiencies Cited today Per Title 22 Regulations. Exit interview conducted with facility Administrator Joy Carter, and a copy of this report provided. Regarding the allegation Staff not responding to residents call button. LPA reviewed facility care notes, and documents titled "Initial Record of Incident." The records document Resident 1 did use the pendant during a fall on 05/23/2022. The "Initial Record of Incident" record document Resident 1 being advised to use the pendant, and encouraged to use the pendant. It is not clear if resident pushed the alarm pendant during the fall incident on 03/24/2023. Based on documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. 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 allegation is unsubstantiated. Regarding the allegation Staff did not provide food service to residents. LPA Hurt interviewed several facility care staff who stated there is plenty of food for all residents in both Memory Care and Assisted Living. The facility staff stated there has never been any incidents where the residents in Memory Care were not provided food. LPA interviewed facility kitchen staff who all stated there is always enough food for all residents and there has never been an incident where food was not provided. Based on interviews conducted, documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. 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 allegation is unsubstantiated.