complaint·December 5, 2024

CONTINUED FROM LIC9099-A Regarding the allegation that Staff does not ensure resident receives mail deliveries , the following has been concluded: Postal mail is being delivered to the facility directly in individual mailboxes located in the facility lobby, with one mailbox assigned per dwelling unit in the facility. Resident or residents living in that specific unit are then provided with a key to their assigned mailbox as confirmed by staff and resident interviews. Staff does not possess keys and does not have access to resident's mailboxes. No specific and/or documented instances of mail being tampered with were provided during the investigation. Regarding the allegation that Staff does not ensure residents laundry is returned undamaged , the following has been concluded: The evidence gathered during the investigation through staff and resident interviews along with records review did not provide sufficient evidence to identify any instances of facility staff being responsible for damaging or destroying a resident's laundry through established negligence. As a result, both allegations are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred. An exit interview was conducted and a copy of this report was provided to a facility representative. CONTINUED FROM FORM LIC9099 Regarding the allegation that Staff did not ensure residents personal property was safely secured , the following has been concluded: Based on staff and resident interviews conducted, reports of missing or alleged stolen items are gathered by facility staff and generally result in corrective measures being taken such as involving staff to search for the missing items or funds, or reevaluating unit assignments if the issue appears to be triggered by residents sharing the same living unit. However, according to an interview with facility administrator conducted during the initial complaint investigation, facility staff does not maintain the required documentation of missing property including a description of the article, its estimated value, the date and time the theft or loss was discovered, if determinable, the date and time the loss or theft occurred as well as the action taken as described in section 1569.153(c) of the Health and Safety Code. As a result, facility staff was unable to provide detailed information on potential theft or loss incidents being investigated when requested by the Department. As a result, the allegation is found to be Substantiated, meaning that the preponderance of evidence standard has been met. A type B deficiency is cited on the attached form LIC9099-D. An exit interview was conducted and a copy of this report along with appeal rights was provided to a facility representative.