Complaint·April 26, 2023

CONTINUED FROM FORM LIC9099-A An additional follow-up facility visit was conducted on November 15, 2022. LPA attempted or conducted interviews with a total of thirteen (13) individuals receiving care and supervision at the facility. Regarding the allegation that Facility phone system is not working, the following has been concluded: Based on staff interviews and resident interviews conducted during multiple visits to the facility conducted between the months of February and November 2022, the majority of accounts gathered confirmed that on multiple instances they had been unable to use the facility's telephone system due to technical issues happening at the time, or to difficulties in navigating a telephone system too complicated in regards to their technical abilities. Therefore, the allegation is found to be Substantiated, meaning that during the course of the investigation, the preponderance of evidence standard has been met. An attached form LIC9099D was generated to one cited deficiency per Title 22 of the California Code of Regulations. At the time of the present visit, the phone systems for the facility were demonstrated to be operational. As a result, the issued citation was cleared and a Plan of Corrections clearance letter was provided to the facility. An exit interview was conducted and a copy of this report along with appeal rights was provided and left with facility representative. CONTINUED FROM LIC9099 An additional follow-up facility visit was conducted on November 15, 2022. LPA attempted or conducted interviews with a total of thirteen (13) individuals receiving care and supervision at the facility. Regarding the allegation that Facility did not allow resident visitors, the following has been concluded: Based on observation, records reviewed and interviews conducted with staff members and residents at the facility, LPA was able to confirm that the facility did not voluntarily bar individuals from accessing the facility and visiting residents but occasionally referred to current guidelines issued by the Department in relation to COVID-19-related precautions to require visitors' current vaccination documentation before authorizing visits. The facility declined to provide residents' relatives with a blanket authorization to visit their loved ones, but was not found responsible of interfering with personal rights. As a result, the allegation is deemed to be Unsubstantiated, meaning that 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. Regarding the allegation that Resident did not receive their mail, the following has been concluded: Facility staff does not access residents' mailboxes on their behalf and does not have the keys to any individual mailbox, unless specifically authorized. Facility staff is therefore unable to tamper with any individual mail. The only reason for mail not to be delivered was identified to be a discrepancy in the postal information used to send mail to a resident. As a result, the allegation is deemed to be Unsubstantiated, meaning that 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. Regarding the allegation that Resident was not allowed to receive phone calls, the following has been concluded: Residents are issued individual phone numbers that route call directly into their individual units. In the event a caller chooses to call the front desk to ask for a specific unit instead, there were no evidence of instructions to screen calls provided to front desk staff for any reason whatsoever. As a result, the allegation is deemed to be Unsubstantiated, meaning that 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. An exit interview was conducted and a copy of this report was provided to facility representative.