Complaint·July 3, 2021

The assessment confirmed that R1 was oriented to person, place, time and was able to communicate needs and preferences (verbally or non-verbally). The facility was unable to provide LPA with a more recent or up-to date assessment from the assessment dated 10/28/2018. R1 moved out of the facility on 2/1/2020. The actions of transferring as mentioned in the assessment dated 10/28/2018 were not met as a result the allegation is substantiated. Allegation: Facility did not ensure resident's room was clean. Based on records reviewed and photos the department was able to establish that R1's carpet was not clean when R1 moved out on 2/1/2020. The photos show three large carpet stains and several other smaller stains, used tissues that were behind furniture in the room (tissues were exposed because the furniture was moved out of the room at the time of the photos 2/1/2020). The facility was unable to provide the department with maintenance records for carpet cleaning, filter changing and other records related to basic cleaning services. The department finds the allegation to be substantiated. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview with Amanda Stewart. Appeal rights and report given.