complaint·May 24, 2024

On May 24, 2024, Licensing Program Analyst (LPA), Venus Mixson conducted a visit to the facility and met with Carminia Meza, (LVN). The visit was conducted to provide the findings for the investigation pertaining to the listed allegations. During the investigation the LPA conducted staff and resident interviews, record reviews, and made observations pertaining to the listed allegations. On July 14, 2021, Community Care Licensing (CCL) received a complaint alleging staff does not provide residents with a comfortable environment, the facility does not staff appropriately to meet the residents' needs, and the residents are not provided with activities. It was reported that the administrator turned down the AC thermostat to 90 degrees. And that the facility was very hot. Regarding the allegation staff does not provide residents with a comfortable environment, it was reported that the air-conditioning thermostat was turned down to 90 degrees. The information obtained from staff and resident interviews; it was advised that the residents living units have an individual air-condition (AC)units. Several residents were interviewed, and each resident shared there are no concerns with the facility temperature and they each have their own respective air-conditioning unit in their rooms. Additional information obtained from record reviews and the LPA's observations demonstrated the facility has a maintenance team and is available to check and repair the facility thermostats if required. Information obtained from the LPA's observations revealed each resident's living unit has an individual air condition unit, which the residents can control and adjust to their preference. The information obtained did not corroborate the allegation that staff do not provide residents with a comfortable environment. Regarding the allegation, the facility does not staff appropriately to meet the residents' needs, it was reported that there was only 1 caregiver for 97 residents. Information obtained from interviews advised that, the facility has sufficient staff scheduled per shift. Additional information obtained from observations and record reviews revealed there are sufficient staff available to assist the residents in care. It was advised that the facility has on-call caregivers, nurses, and Hospice Nurses that are available as needed. The information obtained from the records reviewed does not corroborate the allegation. The information obtained from staff and resident interviews does not support this allegation. Regarding the allegation residents are not provided with activities, it was reported that due to inefficient staffing, resident do not have activities. The information obtained from interviews advised that the facility has an Activities Director, and the activities are planned and scheduled for the whole month. Additional information obtained from staff and resident interviews stated there are a variety of activities and the activities schedule is posted and provided to the residents in care. Further information obtained from the LPA's observations revealed the facility does provide activities to the residents in care, and activities schedules are posted for review throughout the facility. The LPA observed activities taking place and reviewed monthly activity schedules during the record reviews. Information obtained from interviews, observations, and record reviews, does not support the allegation. Based on interviews, record reviews, and observations, the allegations of staff do not provide residents with a comfortable environment, facility does not staff appropriately to meet the residents' needs, and residents are not provided with activities has been deemed "Unfounded." An allegation finding of unfounded means "the allegations are false, could not have happened and/or are without a reasonable basis." Therefore, the outcome of the investigation is regarded UNFOUNDED currently. The Department has investigated the listed allegations and the evidence obtained has demonstrated the listed allegations did not occur and therefore, has dismissed the listed allegations at this time. An exit interview was conducted, and a copy of this report was provided to the Carminia Meza, LVN.