Complaint·October 21, 2021

Also, LPA reviewed Deep Cleaning Schedule for 12/30/2020 through 1/1/2021 and Laundry Schedules for 12/30/2020 through 1/30/2021. 4 of 4 staff (S1-S4) are unaware of any odor issues in R1’s room. 10 of 10 residents interviewed stated the facility is clean and sanitary. These residents were unaware of any odor issues in R1’s room. Deep Cleaning Scheduled notes R1’s room was deep cleaned on 12/14/2020. S4 Housekeeping staff stated that the residents’ rooms are cleaned daily and laundry service is done on a daily basis or as needed. 3 of 4 staff stated that they were unaware of anytime staff spoke to or treated a resident disrespectfully. 4 staff member does not get involved with direct care of residents. 10 of 10 residents did not see or hear staff treat a resident inappropriately. The Department has investigated the above complaint allegations. Based on information from interviews conducted , observations and records reviewed, although the allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No Deficiencies cited under California Code of Regulations Title 22 Exit interview conducted with Jenny Lombarte Assistant Administrator and a copy of this report provided. Page 2 of 2 Records reviewed included residents’ records, Admission Agreement, Progress Notes, Theft Loss and Prevention Program and Privacy Polices. Also, LPA reviewed Laundry Schedules for 12/30/2020 through 1/30/2021. 4 of 4 staff were unaware of any lost or missing laundry. S2 stated that they ask residents to update their personal inventory list but sometimes residents do not. All clothing items are initialed by staff to identify the resident’s clothing to prevent items getting mixed up or lost. S1 stated that sometimes clothing items get mixed up during laundry service and staff will look for the items to return to the owner. Progress Notes dated 1/13/21 indicate that R1 reported to staff that 2 missing clothing items were found. R1 did not have these items initialed before giving them to housekeeping for washing. Theft and Loss Prevention Program states: "The facility shall not be liable for items , which have not been inventoried" 10 of 10 residents did not have any issues or concerns with laundry service or their personal property. 2 of 4 staff were unaware of any privacy issues and stated that office space is made available to residents for their use to speak privately with others. The other 2 Staff members do not provide direct care services. Admission Agreement States under Item 17. PRIVACY states “Sleeping and bathroom/bathing areas are private. Staff and residents must knock on closed bedroom or bathroom doors, wait a minute, call out before entering". 10 of 10 residents did not have any concerns or issues regarding privacy. Privacy is provided when requested. Page 2 of 3 On 6/24/2021 and 10/21/2021 during site tours, office space was observed for residents' use if requested. This Department has investigated the complaint allegations listed. Based on interviews, observations, review of records, the Department has found that the complaint allegations are UNFOUNDED, meaning that the allegations are false, could not have happened and/or is without a reasonable basis. Exit interview conducted with Jenny Lombarte Assistant Administrator and a copy of this report provided. Page 3 of 3