Complaint·October 17, 2023

During LPAs visit on 5/19/23 LPA Mendivil observed R1 to have stained clothing and noted a strong body odor coming from R1. Per records reviewed, R1 needs and service plan dated 12/1/22 does not address and/or note any issues with R1’s refusal and/or inability to self care for grooming needs. Per interviews conducted with facility staff, R1 will refuse to provide staff with their laundry at times. Staff reported doing laundry at minimum twice a week for residents in care and sometimes more, depending on how much laundry there is to wash. Interviews conducted with 4 of 4 residents could not corroborate the allegation. R1 reported their laundry is clean after staff wash their clothes and reported they have enough clean clothing. Although R1 at times will refuse to participate in meeting own hygiene needs, it does not appear that the facility did not maintain a healthful and comfortable accommodations for residents. Therefore, based on preponderance of evidence, the allegation has been determined to be Unsubstantiated meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. This agency has investigated this complaint. It was alleged the facility water temperature is not within regulatory temperature range. During LPA’s visit dated 09/26/2023 LPA tested hot water temperature in bathroom 1 and observed the hot water to be 110 degrees F. Facility does not maintain a hot water temperature log. Per interviews with residents, residents reported the water to be ice cold. Staff denied knowledge of issues regarding hot water. Therefore, based on preponderance of evidence, the allegations has been determined to be Unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. This agency has investigated this complaint. An exit interview was conducted with Administrator and a copy of this report was provided at the time of exit. During LPA’s initial visit, no residents were observed to have full bedrails. Therefore, based on the preponderance of evidence gathered, We have found that the complaint was unfounded, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit was conducted and a copy of this report was provided to facility representative. It was alleged the Facility is using half bed rails without physician orders. During the investigation, LPA observed Resident 2 (R2) to have half bed rails. Upon review of R2’s physician orders, no order could be found for half bedrails. LPA further observed Resident 3 (R3) to have half bedrails. Upon review of R3’s file, R3 was observed to have physician orders on file for half rails. During LPA’s initial visit, no residents were observed to have full bedrails. Therefore, based on the preponderance of evidence gathered, the allegations that Facility is using half bed rails without physicians orders and Facility's shower drain is in disrepair are determined 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.