complaint·April 28, 2025

CONTINUED FROM FORM LIC9099 During the present follow-up visit, LPA requested and obtained the facility's current resident census and requested records for six current memory care residents including their identification form, individual needs and services plan as well as charting notes. LPA reviewed the documentation added to the investigation file during the visit. Regarding the allegation that Facility is not following their Infection Control Plan , the following has been concluded: LPA was able to review the Infection Control Plan and related procedures in place during the initial complaint investigation visit. Staff interviews additionally detailed the specific measures utilized during a recent outbreak of upper respiratory infections that occurred in the facility's memory care in December 2024. Measures were listed as provision of Personal Protective Equipment for staff and residents, temporary isolation with meals provided in unit and regular checks by staff, surface cleaning in addition to weekly deep cleaning of bedrooms, emphasis on hand hygiene. Witness interviews with Orange County Public Health staff evidenced that the outbreak had been adequately reported on December 26, 2024. No concerns regarding the preventative measures implemented were stated during these interviews. Multiple staff interviews also indicated that appropriate antiviral treatment had been provided. Regarding the allegation that Facility did not provide the necessary cleaning services , the following has been concluded: Reported concerns appeared to indicate insufficient frequency of cleanings due to staff disruption during an outbreak occurring in December 2024. None of the staff members interviewed during the course of the investigation made statements corroborating that the facility was temporarily short-staffed. Multiple interviewees described a complimentary organization from caregiving and housekeeping staff in order to address both the recurring scheduled cleaning and spot clean-ups. Each visit conducted included a tour of the physical plant during which no evidence of insufficient cleaning was observed by licensing staff. Records reviewed however demonstrated that staff failed to document whether cleaning services had been provided for the second half of December 2024. CONTINUED ON FORM LIC9099-C CONTINUED FROM FORM LIC9099-C Regarding the allegation that Facility did not provide adequate medical care , a review of resident records as well as facility self-reporting documents demonstrated that resident R1 was hospitalized on December 24, 2024 and diagnosed with Influeza A after which a course of antiviral medication was provided. No failure to provide medical care as needed during the period leading up to the present investigation could be found. Earlier health concerns were addressed appropriately as demonstrated by earlier discharge documents dated May 2024. Additional records reviewed including charting notes for a random selection of six residents showed adequate flagging of health needs and appropriate responses being provided in a timely manner. As a result, the three allegations listed above are found to be Unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report was provided to a facility representative.