complaint·September 10, 2024

(continued from LIC9099) On 8/2/2024 LPA conducted a visit to the facility. LPA obtained copies of the staff schedule for the month of August 2024, staff contact information and resident census for 8/2/2024. LPA toured the facility and interviewed staff and residents in care. In regards to the allegation of staff do not provide adequate care and supervision to a resident, LPA conducted interviews with five residents who indicated being able to recall R1 when they resided at the facility. Of the five residents interviewed, four stated they do not believe the staff neglected R1 based on their observations. LPA conducted interviews with COO and three staff (S1, S2, S3). Of the four staff interviewed, four stated they do not believe the staff neglected R1. In regards to the allegation of staff do not have adequate record keeping for a resident, LPA returned to the facility on 8/15/2024. LPA reviewed R1's file. LPA obtained copies of all of the documentation in the resident's (R1's) file. These files include: copy of state identification card, copy of health insurance card, copy of benefits identification card, admission record from previous facility, physician's report, admission agreement dated 5/17/2024, Assisted Living Waiver Informing Notice, Reassessment checklist, Medi-Cal Eligibility printout, signed Service Plan Agreement, completed assessment tool dated 3/14/2024, Individual Service Plan, physician's orders and medication administration record. LPA conducted interviews with COO and Staff (S1, S2, S3). COO stated no documents were removed from or added to R1's records after they moved out of the facility. S1, S2, S3 made no disclosures regarding the allegation. Based on Title 22 Regulations, R1's file contains all the required documentation. Based on interviews conducted, LPA was unable to determine if R1's file did or did not have the same documentation in it while R1 resided at the facility. Based on interviews conducted and records reviewed there is insufficient evidence to support the allegation(s). Although the allegation(s) may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and this report was reviewed with Faye Shen, Chief Operating Officer (COO). A copy of this LIC-9099 was provided to the facility.