complaint·July 27, 2023

Eighth Allegation: Staff did not ensure that resident was changed into sleepwear at nigh time. Regarding eighth allegation, staff did not ensure that resident was changed into sleepwear at nigh time. LPA conducted a file review and observed daily notes pertaining to Resident #1 (R1) daily needs. Based on notes Residents #1 needs were met. LPA interviewed Residents #2-5 and asked residents if their daily needs such sleepwear/pajama change gets completed before nighttime Residents #2-5 stated that facility caregivers are on top of that every night and ensures that their diapers are changed along with their clothes. Residents #2-5 stated that they have not witnessed residents not being changed into sleepwear at nighttime. Ninth Allegation: Resident is being forced to eat. Regarding ninth allegation, resident is being forced to eat. LPA conducted interviews with Resident #2 (R2), Resident #3 (R3), Resident #4 (R4), and Resident #5 (R5), who all stated that they have not witnessed or experienced staff forcing resident[s] to eat. Resident #2-5 stated when they are not hungry staff will prepare something on a later time for them to eat. Tenth Allegation: Staff are not following resident's care plan. Regarding tenth allegation, Staff are not following resident's care plan. LPA reviewed Resident #1 care plan along with daily care notes which indicate that Resident #1 care plan was followed. LPA LPA interviewed Residents #2, Resident #3, Resident #4, and Resident #5 and asked if facility follows their care plan needs, Residents #2, Resident #3, Resident #4, and Resident #5 all stated that facility is good with following their care plan along with making any changes based on their physicians’ orders. Eleventh Allegation: Resident's hygiene needs not being met. Regarding eleventh allegation, Resident's hygiene needs not being met. LPA interviewed Residents #2, Resident #3, Resident #4, and Resident #5 and asked if their hygiene needs are being met Resident #2, Resident #3, Resident #4, and Resident #5 stated that their hygiene needs are always met. Residents #2-5 all stated that they have no concerns and that their daily needs are always met by the facility. Twelfth Allegation: Facility is not adhering to Admissions Agreement. Regarding twelfth allegation, Facility is not adhering to Admissions Agreement. LPA reviewed admissions agreement (Facility Policies) which states that smoking “IN” the facility is strictly forbidden. LPA conducted in-person interviews with Resident #2, Resident #3, Resident #4, and Resident #5 who all stated that they have not witness any resident smoking inside the facility. Resident #3, and Resident #4, stated that facility has a designated smoking area in the backyard for residents to smoke. Based on the evidence obtained during the course of the investigation, LPA has determined that the above allegations are UNSUBSTANTIATED. Unsubstantiated: meaning 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 this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator April Lopez at the end of the visit. Second Allegation: Staff is not allowing resident to meet with their Resident Representative. Regarding the second allegation, Staff is not allowing resident to meet with their Resident Representative. LPA Guerrero spoke to facility Administrator and asked if the facility has ever denied residents their visitation rights. Administrator stated they are aware of every resident’s personal right and facility has not ever deny any resident their visitation rights. Administrator stated for any family who is loud or disruptive towards other clients in care facility will then offer other alternatives such as: the back patio for visitation area. LPA interviewed Resident #2-5 who all stated that they have not witnessed or experienced visitation rights to be violated. Third Allegation: Staff is not allowing resident to communicate with their Resident Representative. Regarding third allegation, Staff is not allowing resident to communicate with their Resident Representative. LPA interviewed Resident #2-5 who all stated that they have not witnessed or experienced facility staff prevent them (R#2-5), from utilizing their phones to make calls or take calls from family members, or health representatives. Resident #2-5 stated that facility staff are good with communicating to family members any concern’s pertaining to residents. Fourth Allegation: Resident's sleeping needs are not being met. Regarding fourth allegation, resident's sleeping needs are not being met. LPA conducted a file review and observed daily notes pertaining to Residents #1 (R1) daily care and needs. Based on notes LPA observed Resident #1 (R1) receiving calls between (9:45pm,11:00pm,10:41pm) from family member. LPA interviewed Residents #2-5 regarding their sleeping needs not being met who all stated that they have no issues or concerns regarding their sleepings needs. Resident #2-5 stated facility ensures that their rooms are comfortable and set at a comfortable temperature for them to sleep well. Fifth Allegation: Resident's incontinence needs not being met. Regarding fifth allegation, resident's incontinence needs not being met. LPA conducted a file review and observed daily notes pertaining to Resident #1 (R1) daily care and needs. Based on notes LPA observed that showers, pull-up change, and daily hygiene needs were met. Administrator stated that diaper change is done three times a day and depending on if resident soils. Administrator also stated that pull-ups are utilized on residents who are capable on retaining their own bladder. LPA interviewed Residents #2-5 and asked if their incontinence needs are being met Resident #2, and Resident #3 stated that their diapers are changed daily depending on their lack of control over their urination/feces staff will then change frequently.