complaint·October 14, 2024

Staff handled resident in a rough manner According to the RP, it was reported that on 06/06 or  06/07 a staff member body slammed a resident onto their bed because they did not know how to put down the grab bars. The alleged resident is on hospice and is unable to communicate. LPA Valerio interviewed the resident's roommate, Resident 5 (R5). However, R5 was unable to provide information related to the allegation. According to an interview with Staff 2 (S2), staff appear to be gentle with the resident. LPA Valerio reviewed the staff schedule for June 2024. LPA did not observe a staff member name that matched the name provided by the RP. Staff yells at residents LPA Valerio interviewed six (6) residents. R1 stated staff do not yell at us, they are nice people. R2 did not report any staff yelling at R2. R3 reported that staff are okay and they do not yell at R6 or anyone. R4 had nothing to complain about. R5 was unable to convey if staff yell or do not yell at residents. R6 reported that staff do no yell at R6. Based on interviews with three staff members (S1, S2, and S3), all staff reported that they do not raise their voice or yell at any of the residents. Staff left resident in soiled diapers for an extended period of time / Staff did not ensure the facility was free from odors According to the RP, the facility smells like ammonia due to the residents being soaked for hours from the day shift. LPA attempted to gather additional information from the RP; however, RP told LPA to go to the facility and observe it herself. LPA Valerio observed the facility on 07/02/24 and 08/08/24. During both visits, LPA Valerio did not observe any odors resulting from incontinence. LPA Valerio interviewed residents. R1 reported that staff do their rounds about 30 to 49 minutes for each resident. When R1 asks for help, R1 receives help right away. R1 reported that R1 only needs to be checked every couple of hours. R3 reported that staff are supposed to change R3's diaper; however, R3 prefers to do it themselves because they can. R5 was unable to convey if staff assist R5 with ADLs; however, LPA did not observe any signs of soiled clothing or odors. According to an interview with S1, S1 reported S1 checks on them about every hour because R1 does not want them to get a rash. According to an interview with S3, S3 reported that a noc shift staff was fired because she was caught sleeping.  The staff member was an employee for a few weeks. S3 came to the facility to check on the staff. When S3 arrived, the staff was observed sleeping and did not notice S3 come in. After S3 was fired, the staff started to blame other staff for tasks that she failed to complete. Staff are not allowing residents to have water According to the RP, RP has observed a resident asking for water and another staff member will say "no! go to bed!". LPA attempted to obtain additional information from the RP; however, the RP refused to provided additional information. LPA Valerio observed the facility on 07/02/24 and 08/08/24. During both visits, LPA observed staff providing residents water, juice, or their request beverage of choice. S1 was observed getting up from the interview to provide a resident request for additional water. According to an interview with S2, the facility has a water dispenser located in the middle of the kitchen, which they used to have  outside the kitchen. There was a resident that would dump the whole dispenser on the floor. Staff provide water ever hour, but the residents hate water. To help, the facility will add flavored water, which the residents enjoy. Staff did not ensure the facility was free from pests According to the RP, the facility has water bugs located all over the facility. During LPA's visits on 07/02/24, 08/08/24, and 10/14/24,  there was no evidence of water bugs or other pest located in the facility. According to an interview with S2, the facility has a monthly pest control service that comes every month. S2 reported that they can be contacted as needed if anyone sees pest. LPA observed pest control invoices for April, June, and August of 2024. Staff did not ensure the facility bathroom was not in disrepair LPA Valerio observed the facility on  07/02/24 and 08/08/24. Residents have access to two out of three bathrooms. The bathroom located closest to the front door has multiple stalls, a sink, and shower to use. The second bathroom located in the middle of the hallway has one toilet, one sink, and one shower. Both restrooms were observed to be in working condition. The third bathroom is considered a staff bathroom. In order to get in, staff use a key. Based on an interview with S1, the bathroom used for staff works; however, you need to use a bucket of water to flush the toilet. According to an interview with S2, all the bathrooms work. Based on the an interview with Administrator Stephanie, the staff bathroom is currently working and you do not need a bucket to flush it. Staff are not providing a comfortable temperature for residents According to the RP, the licensee refuses to turn on the air conditioning. RP observed residents with sweat dripping down their face from it being so hot. On 07/02/24, LPA Valerio observed the front window located in the front common living room to be open. LPA Valerio observed the facility thermostat, which read a temperature of 85 degrees Fahrenheit. The temperature outside the facility upon arrival was 101.0 degree Fahrenheit and the city of Galt issued an excessive heat warning due to the temperatures rising up to 110.0 degree Fahrenheit. At 3:00 PM, the thermostat read 81 degrees and the temperature outside of the home was 108 degrees. LPA received notification of the facility temperature: 07/03/2024 at 3:00 PM - 78 degrees Fahrenheit, 07/04/2024 at 12:45 PM - 73 degrees Fahrenheit , 07/05/2024 at 9:57 AM - 70 degrees Fahrenheit, 07/05/2024 at 1:44 PM - 73 degrees Fahrenheit. On 08/08/24, the facility thermostat was set to 73 degrees Fahrenheit while fans were observed in resident bedrooms and the common hallway. Due to the above noted information, although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore the allegations are unsubstantiated. Per California Code of Regulations (CCRs) - Title 22, no deficiencies cited . An exit interview was held and a copy of report was left at the facility with Administrator Stephanie Siewe.