Complaint·May 30, 2024

LPA Moleski was told by a former consultant of this facility (S7) that a resident (R1) was allowed to cook with and wash kitchen knives. LPA Moleski observed a photograph which depicted R1 standing in front of an open drawer containing large kitchen knives. R1 is shown leaning over and either removing a spoon or returning it to the drawer. In an interview, Stumpf said that R1 liked to help put dishes away. Stumpf said that since this matter was brought to her attention, the drawers were rearranged so that knives were kept elsewhere. LPA Moleski reviewed R1’s file. R1 has dementia, according to an LIC 602 dated 10/6/23. The department has determined the following as it relates to the allegations that staff are not sufficiently trained and that a resident was allowed access to knives: Based on interviews and record review, the above allegations are SUBSTANTIATED. A finding that the complaint allegations are substantiated means that the allegations are valid because the preponderance of evidence standard has been met. This facility is being cited per 22 CCR Sections 87705(f)(1) and 87412(c). An exit interview was held with Stumpf. Appeal rights and a copy of this report were left with Stumpf. The same physician listed multiple different phone numbers, none of which correspond with any publicly available phone numbers for the physician’s clinic. LPA Moleski reached out several times to the clinic physician whose name appears on the reports, but did not receive any response. LPA Moleski was unable to verify if alterations were made by the physician’s office or by facility staff, and was unable to determine whether or not the signatures of the physician were legitimate or not. The department has determined the following as it relates to the allegation that staff falsified records: Based on interviews, observation, and record review, the above allegations are UNSUBSTANTIATED, which means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiencies were cited regarding the above allegations. An exit interview was held and a copy of this report was left with Stumpf.