Complaint·April 25, 2023

Interviews conducted with two of six residents in care confirmed that S1 does yell at residents. The remaining four residents were unavailable and/or unable to be interviewed due to communication barriers. LPA Mendivil reviewed S1’s personnel file and confirmed S1 has not received current training on resident’s personal rights. Training observed on file expired March 16, 2023, meaning it is older than 12 months time period. Although it does not appear S1’s elevated voice was done with malicious or mal intent, based on interviews conducted with S1 and multiple residents in care, the allegation is determined to be Substantiated. It was alleged facility staff threw resident’s wheelchair due to staff becoming agitated and physically throwing Resident 1 (R1)’s wheelchair. Interviews conducted with S1 and Administrator Dao deny allegation. Interviews conducted with residents in care confirmed S1 can be rough at times when handling residents and/or their belongings. Although it does not appear S1’s rough handling was done with malicious or mal intent, based on interviews conducted with residents in care the allegation is determined to be Substantiated. Regarding the allegation Facility staff does not ensure that the facility is maintained at a comfortable temperature for the residents. Based on observations made during LPA’s visit to the facility on 03/14/2023, 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 facility does not properly store bed linens, during previous visit dated 03/14/2023 LPA Mendivil observed bed linens being stored in a pile on facility outside patio. Patio was uncovered and accessible to outside elements. During follow up visit dated 4/7/2023 LPA observed linens had been freshly cleaned, sorted, and restored in a linen closet located within the facility. Based on LPA’s observations, the allegation that facility does not properly store bed linens is deemed to be 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.