complaint·December 20, 2023

Two out of the three residents indicated that the facility staff responds to their request in a timely manner, therefore LPA lacks sufficient information to corroborate the allegation. It is alleged that the staff mismanaged the resident’s medication. R1 joined the medication management program effective May 31, 2023, as noted on the Progress Notes. Per interviews conducted, four out of the four staff did not corroborate with the allegation. One out of the three residents that were interviewed indicated that the Medication Technicians (MTs) stand and watch to ensure that the medication is taken while two out of the three residents indicated that they are not participants in the medication management which was verified on the Physician’s Reports. It is alleged that the staff did not provide a safe and comfortable environment for the resident. Two out of the two staff indicated that Staff #1 (S1) maintains an open-door policy and welcomes residents and families to communicate their concerns. Only one out of the three residents interviewed was able to identify the position of S1 while two out of the three residents expressed that they did not have an interaction with S1. Based on the interviews which were conducted and the records that were reviewed, although the allegations 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 following allegations: Staff did not seek medical attention for resident in a timely manner, Staff mismanaged resident’s medication, and Staff did not provide a safe and comfortable environment for resident are deemed UNSUBSTANTIATED. An exit interview was conducted with Executive Director Melanie Washington, and a copy of this report including the LIC9099-C and LIC811s were provided at the end of the visit. Therefore, based on LPA's observations and interview, the preponderance of evidence standard has been met, therefore the following allegation: Facility is in disrepair is deemed SUBSTANTIATED. The California Code of Regulations, Title 22, Division 6, Chapter 8 is being cited on the attached LIC 9099D. An exit interview was conducted with Executive Director Melanie Washington, and a copy of this report including the LIC9099-C, LIC9099-D, LIC811, and the appeal rights were provided at the end of visit.