complaint·May 20, 2025

Interview with six (6) of eight (8) residents revealed that they are not receiving dental services as they were not informed that they can see a dentist and they were never provided assistance to make an appointment to see a dentist since they moved in at the facility. On 12/30/2024, Staff #1 (S1) informed LPA Brown that R1's Health Insurance requires them to set-up their own appointment that's why R1 has not seen a dentist since moving in in 2017. Moreover, Staff #7 (S7) reported that when R1 has a dental appointment scheduled, R1 will not go to the scheduled appointment but there was no documentation available to prove that R1 refused to go to R1's scheduled appointment. In addition, records review revealed that R1 has a mental health condition that makes R1 unable to advocate and decide for own medical and dental care and although the facility has a plan that encourage and provide assistance in medical care to R1, LPA Brown noted that the facility does not have a plan to encourage routine dental care and provide assistance in obtaining such care to meet R1 needs. Overall, the preponderance of evidence supports that staff did not ensure that a resident received dental services. It was found that R1 was diagnosed to have mental health condition that makes R1 unable to advocate and decide for own medical and dental care and there is lack of support to identify that the facility has a plan to encourage routine dental care and provide assistance in obtaining such care to meet R1 needs. As a result, R1 was not able to receive dental services since moving in at the facility in 2017 and investigations revealed that on 01/23/2025 was R1 first dentist appointment since moving in at the facility in 2017 after R1 Public Guardian reported to the facility R1 unmet dental care needs. The above allegation is found to be SUBSTANTIATED. A deficiency is being issued per California Code of Regulations, Title 22. A substantiated finding means that the allegation is valid because the preponderance of evidence standard has been met. An exit interview was conducted where this report, LIC9099, LIC9099D, and Appeal Rights were discussed and provided to Assistant Administrator Mary Gonzalez.