complaint·November 16, 2023

During inspection conducted on 6/02/2023, LPA observed holes at the top of the front door where chain lock was installed. LPA observed that location of chain was out of reach of residents who are non-ambulatory and in a wheelchair. Administrator stated that chain was used to lock door for the safety of the residents. Administrator removed chain from front door. LPA reviewed staff member documents for Administrator and staff members S1 and S2. LPA observed that S1 did not have initial training completed in accordance with Health and Safety code 1569.625. Based on interviews conducted, observation, and records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 9099-D page. Exit interview was conducted with Administrator. A copy of this report and appeal rights were provided. Administrator's signature on these forms acknowledges receipt of these documents. Relevant party reported to the Department that facility staff did not respond to resident's request for assistance in a timely manner, staff are not available to assist residents at night, staff threatened a resident in care, and staff yelled at a resident in care. During the investigation, LPA interviewed Administrator, staff member S1, and residents R1, R2, R3, and R4. None of the interviews conducted indicated staff are not responding to resident's request for assistance with ADLs in a timely manner. No interviews conducted indicated that staff do not respond to residents' needs at night. No interviews conducted indicated that anyone witnessed or experienced staff threaten a resident or yell at a resident. LPA reviewed resident records for residents R1, R2, R3, R4, R5, and R6. LPA did not observe any resident records indicating that a resident had a dementia diagnosis and needed night supervision at the facility. Based on interviews conducted and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted with Administrator. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.