Complaint·March 8, 2024

Staff interviewed provided statements to LPA that a vitals program was considered but never implemented and no resident was ever charged for the service. LPA observed no physician's request for documentation of daily vitals. LPA reviewed staff records and did observe that there was an administrator or their designated substitute present at the facility for the amount of hours needed to meet the needs of residents. LPA observed that the designated substitute also obtained administrator certification and was present at the facility in the administrators absence. Regarding the allegations of unlocked doors. the facility's approved plan of operation does not indicate the facility will lock all exterior doors. Based on interviews conducted at the facility the identified doors are only unlocked from 8am to 5pm and there have been no reported issues with unauthorized individuals entering the facility or the unlocked doors posing a danger to residents. This facility does not have a memory care program. LPA reviewed records that could not corroborate a specific power outage as the reporting party could not provide specifics in terms of exact dates/times. Per the complaint and title 22 regulations there is no requirement that the facility maintain power at all times only that there be an emergency plan of operation and if the plan was implemented. staff interviewed were able to describe emergency plan of operation and actions taken in a power outage. There are no requirements for the facility to have a backup power generator. Per the reporting party the power outage was minimal and power restored in a few hours. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegations of Physical Plant and Other are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies is cited per California Code of Regulations, TITLE 22. Exit interview was conducted with the licensee. Appeal Rights were issued, and a copy of this report was left at the home.