complaint·December 21, 2022

Licensee/Administrator Mojica reported that if a resident is non-ambulatory, the bedroom has audio surveillance device for the staff to appropriately monitor the non-ambulatory residents in care. Moreover, though Licensee/Administrator Mojica indicated that responsible party of Resident 3 (R3), Resident 1 (R1) and Resident 2 (R2) provided consent on audio surveillance device on R3, R1 and R2's bedroom. Interviews with both R3, R1 and R2's responsible party revealed they both did not provide consent to the audio surveillance device in their family’s bedroom. LPA Brown will be issuing a deficiency for this issue as this pose potential health, safety and personal rights risk to residents in care. Based on LPAs Brown and Echeverria's observations and interviews, the preponderance of evidence standard has been met, therefore the allegation Facility placed an audio surveillance device in resident's bedroom s found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter 8) is being cited on the attached LIC9099D. An exit interview was conducted where this report, LIC9099, LIC9099D, and Appeal Rights were discussed and provided to Licensee/Administrator Florence Mojica. Moreover, per LPA Brown's review of Hospice Care Notes, incident last 10/04/2021 was reported to hospice and R3 was assessed, being treated for wound care and wound was reported to R3's physician. LPA Brown also noted R3's Weekly Progress Report on R3's wound care. The second allegation indicates facility did not update resident's records. Staff interviews and documents review indicated residents’ records were all updated by Licensee/Administrator Mojica. LPA Brown reviewed R3’s records during the visit last 12/21/2021 and LPA Brown observed that R3’s records were all current and updated at the facility by Licensee/Administrator Mojica. The third allegation indicates facility did not meet residents’ nutritional needs. Interviews with residents and staffs and documents review indicated residents were served healthy breakfast, lunch, dinner and snacks. In addition, interviews with staffs and residents revealed that adequate meals were always served and on time. Also, during LPAs Brown and Lama's tour of the facility last 12/21/2021, adequate supply of perishable (more than three (3) days) and non-perishable foods (more than seven (7) days) were observed. Based on interviews and records review, the allegation Resident sustained wounds while in care (Allegation #1), facility did not update resident records (Allegation #2), facility did not meet residents’ nutritional needs (Allegation #3), are 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 violations did or did not occur. An exit interview was conducted, where this report (LIC9099) was discussed and provided to Licensee/Administrator Florence Mojica.