complaint·June 28, 2023

LPA interviewed residents and made observations of the reported living environment and found that there was a substance black in color on top of the calking, as well as cracking in the tub, and noted the shower seat being loose. Interview with staff revealed that R1 advised of the situation on April 11, 2023, and staff was given a quote by the vendor for repair. Staff interview further revealed that on April 28, 2023, R1 followed up with staff regarding the repair of the seat and condition of the shower. As of June 28, 2023, staff is waiting on other vendors to rectify the damage. Based on staff interview, and observations made, LPA found that both allegations were Substantiated. The facility was cited per Title 22. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where a copy of this report was provided along with copies of the LIC9099-C, LIC9099-D, and Appeal Rights. Additionally, residents concluded that if an item is not wanted on the menu, an alternative selection is always available. Documentation received from the facility paralleled the resident interviews. Thus, this allegation was Unsubstantiated. A finding of UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where a copy of this report and a copy of the LIC9099-C was provided to Executive Director Melissa Polendo.