Complaint·December 7, 2023

CONTINUED FROM LIC9099 Regarding the allegation that Staff did not provide resident's responsible party with complete paperwork at resident's admission to the facility , the following has been concluded: Based on a review of R1's records maintained at the facility and provided during the initial investigation visit, the resident and their authorized representative were provided with the following elements required by Title 22 regulations: R1's Pre-admission appraisal, Identification and Emergency contact form, signed and dated Admission agreement and all its required components including the facility's theft and loss policy. The Safeguard for Cash and Valuables form is also observed to be included in the records and is observed to be blank. Both the resident and their authorized representative declined to place any specific belongings into facility safeguarding. The resident's Individual Service Plan and updated physician report are also present. Based on the records reviewed and their corresponding dates and signatures, LPA was able to corroborate that facility staff has provided the resident and their authorized representative with all necessary items of documentation upon the resident's admission on or around August 21, 2022. As a result, the allegation is determined to be Unfounded, meaning that meaning the allegation is false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of this report was provided to a facility representative. CONTINUED FROM LIC9099 A follow-up visit was conducted on November 29, 2023. LPA was informed that the local law enforcement investigation was still ongoing and led an interview with facility administrator Anna Pastores. Additional witness interview attempted or conducted via telephone prior to the present visit. Regarding the allegation that Staff did not safeguard resident's personal property , the following has been concluded: Based on interviews conducted, site observation and records reviewed, it was confirmed that the facility meets all Title 22 requirements for its theft and loss policy. LPA also confirmed that the missing or stolen item reported as part of the present complaint was not placed under the facility's safeguarding responsibility. Law enforcement reporting was conducted appropriately by facility staff and is still pending at the time of the present visit. Additionally, the unit where R1 is observed to be residing is equipped with a lock to be used by the resident or their authorized representative at their own discretion. The evidence available at this time could not corroborate facility staff responsibility in misplacing or stealing the item reported missing or stolen. Therefore, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Regarding the allegation that Resident sustained bruising while in care , the following has been concluded: Based on interviews conducted, a skin discoloration was observed on the R1's left hand by their authorized representative and facility staff multiple days after the reported incident involving a lost or stolen item. None of the interviews conducted were able to associate the discoloration with facility staff mishandling R1 or failing to provide adequate care and supervision. As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to a facility representative.