complaint·June 14, 2023

Regarding the allegation: Staff did not ensure that resident had a comfortable environment, 9 of 9 individuals interviewed provided conflicting statements and could not corroborate the allegation. 6 of 9 individuals interviewed stated the temperature in their room was satisfactory and had no complaints about the room temperature. On today's visit LPA Velazquez tested the ambient temperature in resident rooms and it measured from 75 degrees Fahrenheit - 79 degrees Fahrenheit which is within regulatory requirements. Per ED Anderson, some residents ask that the thermostat be set at 90 degrees Fahrenheit which would exceed regulatory requirements. Regarding the allegation: Resident's food is served cold, 9 of 9 individuals interviewed provided conflicting statements and could not corroborate the allegation. 8 of 9 individuals interviewed stated their food was served hot and had no complaints about the temperature of the food. Regarding the allegation: Staff did not notify responsible party of incident, 9 of 9 individuals interviewed provided conflicting statements and could not corroborate the allegation. Per the facility's Internal Incident Report, R1's family member was notified via phone with a voicemail message left at 6:10 PM on April 4, 2023. 3 of 3 individuals stated R1's family member was notified when R1 was sent out to the hospital. Regarding the allegation: Resident received unauthorized services, 9 of 9 individuals interviewed provided conflicting statements and could not corroborate the allegation. 2 of 3 individuals stated R1's family member was aware of the diagnostic test R1 received as it was required for admission into the facility. Based on the observations made, 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 ensure that resident had a comfortable environment, Resident's food is served cold, Staff did not notify responsible party of incident, and Resident received unauthorized services are deemed UNSUBSTANTIATED. An exit interview was conducted with Executive Director Stacie Anderson and a copy of this report was provided at the time of this visit. Regarding the allegation: Resident's toilet is in disrepair, 9 of 9 individuals interviewed provided conflicting statements and could not corroborate the allegation. ED Anderson stated one resident's toilet became clogged and caused leaking. ED Anderson contacted Splash Plumbing who came and addressed the plumbing issue. The records reviewed included 2 Splash Plumbing invoices dated March 6, 2023 and March 11, 2023 for the plumbing job performed by the company. The invoices further document "removed large amount of wipes." There have been no further plumbing issues at the facility since the issue was addressed in March 2023. Based on the observations made, interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegation: Resident's toilet is in disrepair, is deemed SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8 is being cited on the attached LIC 9099D. The citation was cleared at the time of this visit as the plumbing issue was addressed and corrected back in March 2023. An exit interview was conducted with Executive Director Stacie Anderson and a copy of this report along with the appeal rights were provided at the time of this visit. A copy of the clearance letter was also provided at the time of this visit.