complaint·October 10, 2024

Regarding the allegation, Caregiver did not meet the resident’s needs, the investigation revealed the following: Per interviews conducted with the residents, one out of the four residents reported facility not arranging their medical transportation. Based on the review of the needs and services plans of the resident, facility is responsible for arranging medical care transportation. Additionally, four out of the six staff corroborated with the allegation indicating that the resident has been arranging their own transportation recently. LPA conducted an audit of the medications for all residents. Based on the review, LPA observed medication errors in five out of five residents. Administrator acknowledged all errors during the audit. Regarding the allegation, Caregiver did not treat the resident with dignity and respect. Although four out of the five residents did not corroborate with the allegation, Staff #1 (S1) confirmed yelling at Resident #1 (R1) during the interview. In addition, six out of the six staff confirmed S1 avoiding and ignoring the resident. Therefore, based on LPA's interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegations: Caregiver did not meet the resident’s needs and Caregiver did not treat resident with dignity and respect are deemed SUBSTANTIATED. Deficiencies are being cited as per the Title 22, Division 6, Chapter 8 of California Code of Regulations. See the attached LIC9099D. An exit interview was conducted with Administrator Angelita David and Caregiver Bernardito David, and a copy of this report including the appeal rights were provided at the end of the visit.