Complaint·July 25, 2024

As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED. Citation is issued under Title 22, Division 6. An exit interview was conducted with lead caregiver and a copy of this report was provided to lead caregiver. Appeal rights provided. LIC 811 provided. Additionally, it was revealed through interviews that no corroborated statements existed which describe staff making inappropriate comments towards residents. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff did not assist resident in a timely manner. LPA conducted interviews, observation, and record reviews as noted above. Based on interviews and record reviews, it was revealed that staff are assisting residents as needed within appropriate amounts of time and providing adequate supervision during assistance. LPA’s observation did not reveal an inadequate response time to residents’ needs. Record reviews indicate staff are meeting residents’ needs timely in various activities of daily living (ADL) components. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff did not meet resident’s bathing needs. LPA conducted interviews and record reviews as noted above. Based on interviews and record reviews, it was revealed that staff are performing bathing assistance in an adequate and timely fashion. Records reviewed indicated various type of bathing needs for residents. These records indicate staff is completing bathing assistance needs for residents in care. Additionally, interviews did not reveal corroborated statements of staff not meeting residents’ bathing needs. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff did not safeguard resident’s personal belongings. LPA conducted interviews and record reviews as noted above. Based on interviews and record reviews, it was revealed that Licensee maintains documentation adequate for tracking residents’ personal belongings along with options for residents’ to record what personal items are brought in and removed. Additionally, interviews conducted did not reveal any corroborated statements of staff mishandling or otherwise not safeguarding residents’ personal belongings. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. {Cont. on 9099C} Allegation: Staff inappropriately video record residents. LPA conducted interviews and observations as noted above. Based on interviews conducted, there were no corroborated statements which revealed facility staff recording residents with any devices including wall mounted cameras or cell phones. LPA’s observation did not reveal the presence of any recording devices inside or outside of facility. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff did not provide a comfortable and safe environment for resident. LPA conducted interviews and observations as noted above. Based on observation, facility at this time maintains adequate furniture and furnishings throughout with adequate lighting and functional devices necessary for resident comfort and safety. Observation revealed no obstruction to fire exits and dangerous items were secured and inaccessible to residents in care. Interviews conducted did not reveal any corroborated statements of staff not providing a safe and comfortable environment. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff are not providing adequate food service to residents. LPA conducted interviews, observation, and record reviews as noted above. LPA compared current facility menu to food items on hand. LPA observed food items in appropriate quantities and able to match established menu items. Additionally, menu reviewed contains various food choices as well as snacks available to residents throughout the day. Established food items contain the regulatory required nutrition available to residents. Interviews conducted revealed facility staff is providing a variety of food choice between breakfast, lunch, and dinner. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with lead caregiver and a copy of this report was provided to lead caregiver. Appeal rights provided.