complaint·May 4, 2023

Through interviews conducted with residents, LPA found that their pendant's are in working order. Based on interviews conducted, the preponderance of evidence standard has been met, therefore the allegation was found to be SUBSTANTIATED. It was then alleged that Resident 1 (R1) does not receive their packages. Interview with R1 revealed that R1 has their mail, it just is not delivered consistently. Interviews with staff and residents revealed that mail is delivered by the Post Office to the front desk to be sorted for Assisted Living Delivery. From there, staff separate the mail, and deliver to the residents. On the day of the visit, LPA observed loose mail left on a table in the Activities Room with no supervision. Additionally, interviews with residents concluded that there is a problem receiving their mail on a regular basis. Therefore, the preponderance of evidence standard has been met, thus the allegation was found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. The facility was cited under California Code of Regulations (Title 22, Division 6, Chapter 8),on the attached LIC9099-D. The facility provided an additional support that fit the toilet. R1 does not like the support; however, the support was new provided by the facility when the facility learned that the support that was being used was not the right one for the toilet. Due to the facility providing a new support to fit the toilet that R1 has, and also the fact that R1 is able to utilize the toilet, and does so with the support, LPA was not able to dismiss the allegation; thus found the allegation was found to be UNSUBSTANTIATED. It was then alleged that the entry-way in R1's bathroom is too narrow for R1 to ambulate their walker through, and around while using the toilet. LPA found that through interview with residents and observation, R1's walker is able to fit through the doorway and allow R1 access to the toilet; thus the allegation was UNSUBSTANTIATED and not able to be dismissed. It was then alleged that staff due not answer the facility telephone during the day or during the night. The noted incident was involving R1 on January 23, 2023 where facility staff was alleged to not answer the phone at approximately 3:30am, when R1 had went to the hospital. LPA found that R1 had fallen at 5:00am and LPA was not able to conclude that the phone was answered or not via interview with staff and residents; however, LPA did call the facility and was met with a receptionist on the day of visit. Thus the allegation was not able to be dismissed, and therefore 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.