Complaint·April 20, 2023

For allegation facility failed to maintain temperature within regulatory requirements. Based on observations made during LPA’s visits to the facility on 10/31/2022, LPA observed the facility to be maintained at a comfortable temperature meaning residents did not appear to be over heated, sweating and/or unreasonably cold. Temperature within the facility appeared to be maintained within regulatory requirements. Interviews with 3 out of 6 residents indicate that the temperature in the facility is comfortable. The remaining three residents were unable and/or refused to be interviewed. During a separate complaint investigation dated 1/20/2023 the allegation that Facility has no heat was substantiated. Therefore, the allegation facility failed to maintain temperature within regulatory requirements is deemed to be substantiated. The facility was previously cited on 1/20/2023 for violation and has since corrected deficiency. Regarding the allegation that facility failed to address pest infestation, the Investigation determined the facility does have a pest infestation, including but not limited to roaches and rodents. During LPA’s multiple visits to the facility LPA observed multiple mouse traps along with rodent droppings in multiple resident rooms. Interviews conducted with 2 of 6 residents confirmed residents have not seen rodents in the facility, however, acknowledge seeing rodent droppings on multiple occasions. Although the facility implemented rodent traps at the facility, the facility failed to properly address the pest infestation as evidence by the on going rodent droppings visible in the facility despite having implemented rodent traps. Therefore, the allegation is determined to be Substantiated. Regarding the allegation that the facility lacks emergency lights, the investigation determined that the facility does not have emergency lighting. Based on interview with Administrator Brevet Dao it was reported that the facility utilizes hallway and bathroom lights as lights at night. This does not constitute emergency lighting as it would not be available during a potential power outage. Therefore, the allegation is Substantiated. For the allegation that resident bedrooms have insufficient lighting, LPA Mendivil observed 2 out of 3 resident bedrooms had missing light bulbs. It appears the facility utilizes natural light during the day and due to missing light bulbs, the facility does not have sufficient lighting for night time. Therefore, the allegation is Substantiated. The following is being cited per California Code of Regulations Title 22 Division 6 Chapter 8. An exit interview was conducted with Administrator and a copy of this report, LIC9099-D, and appeal rights was provided at the time of exit. Regarding the allegation Facility staff lack emergency disaster training, LPA reviewed five of five staff files. Of the staff files reviewed, LPA confirmed five of five staff have documentation of current emergency disaster training. Staff interviewed were able to explain the process of disaster training. Interviews with staff indicate that they are also CPR trained. LPA verified one of five staff present has a current CPR training. The remaining four of five staff have current first aid training. Therefore the allegation that facility staff lack emergency disaster training is determined to be Unfounded. Regarding the allegation that facility does not have emergency oxygen, during the investigation LPA confirmed that facility maintained multiple spare oxygen canisters in the facility garage. LPA confirmed canisters to be full and operational. Therefore the allegation that facility does not have emergency oxygen has been determined to be Unfounded. LPA Mendivil cross reviewed facility Personnel Summary List and all staff listed on LIC 500 (Personnel Report) and confirmed all staff listed are associated with the facility. LPA Mendivil also reviewed documentation such as, but not limited to, staff files of which all present employees were reflected as having the necessary criminal background clearance. Therefore the allegation Uncleared individual is living in the facility has been determined to be Unfounded. An exit interview was conducted and a copy of this report was provided at the time of exit. * Due to technical difficulties LPA was unable to print documents, documents were emailed to Administrator and a copy was retained on file.