complaint·March 8, 2023

During document review, LPA discovered that R1’s reappraisal/personal service plan was updated on 10/10/2020. The document was signed by a staff member but was not signed by R1’s responsible party. The facility did not provide LPA documented proof that the document was reviewed by R1’s responsible party. Based on the evidence gathered during today’s investigation, the allegation listed above is deemed SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of evidence the standard has been met. During today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) and LIC9099D was discussed and provided to Business Office Coordinator Jennifer Sanchez "Lazaro", along with a copy of the appeal rights. During interviews with staff, LPA discovered that staff check and change the residents’ diapers every one (1) to two (2) hours, as well as after each meal. If a resident soils more often, the resident will be changed more as needed. For allegation, Resident's cane was taken away by facility staff: During interviews with staff, LPA discovered that two (2) staff members remembered that R1 had times where they were aggressive with their cane. The staff remembered there was a conversation with R1’s responsible party about looking for an alternative option with R1’s doctor due to aggression. The staff could not recall R1’s cane being taken away by a staff. During document review, LPA reviewed R1’s progress notes for November 2020, December 2020, January 2021, and February 2021. LPA discovered notes detailing aggressive behavior but did not find notes stating that a staff took away R1’s cane. For allegation, Facility did not provide a copy of resident's records to responsible party: During document review, LPA was shown a folder of R1’s documents with a note on it stating to give to resident’s responsible party. LPA was also shown an email communication dated 2/4/2021 to R1’s responsible party detailing the need to send a written request for R1’s documents. On 2/11/2021, an email was sent to R1’s responsible party detailing that R1’s documents were ready to be picked up at the facility. During interview with staff, LPA discovered that R1’s documents were printed and set aside for R1’s responsible party, but they were never picked up. Overall, LPA was not given information to collaborate the three (3) allegations listed above. Based on the evidence found during the investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Business Office Coordinator Jennifer Sanchez "Lazaro", along with a copy of the appeal rights.