complaint·February 3, 2025

ED Justin stated the facility utilizes motion sensors that emit an alarm on all facility cell phones. ED explained that at night all rooms have sensors and staff is able to monitor movement. Based on interviews with 3 out of 3 staff state they conduct rounds on resident at minimum of hourly. Staff stated most residents are in the common areas during the day and if a resident stays in their room they will check on them hourly. Therefore based on observations and interviews the allegation that facility lacks supervision in memory care is 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. No deficiencies cited. An exit interview was conducted and a copy of this report this report was left at the facility. Per review of Resident 1 (R1) file discharge papers from a hospital visit that diagnosed resident with a dislocated shoulder and head injury. Based on interviews with 3 out of 3 staff it was reported R1 had a fall about a month ago. Per review the Department did not receive LIC 624 for the incident. Therefore based on the preponderance of evidence through records reviewed and interviews the allegation that facility is not reporting falls in memory care is determined to be SUBSTANTIATED, meaning the complaint allegation is valid and that a violation has occurred. The following is being cited per California Code of Regulations Title 22 Division 6 Chapter 8. An exit interview was conducted and a copy of this report and appeal rights was provided to the facility representative.