complaint·December 7, 2022

Allegation 3: Facility not maintained clean and sanitary. LPA received and reviewed records for scheduled carpet cleaning by a third-party vendor. LPA toured the facility, including the memory care unit with newer carpet than the rest of the facility, and observed the facility as orderly. Staff interviews reveal that some residents may create more mess than other while some may purposely leave clutter and trash around the facility. This allegation is unsubstantiated. Allegation 4, 5, and 6: Facility does not meet residents' personal care needs, Staff do not groom residents, and Staff do not shower residents. LPA received and reviewed resident schedule for laundry and showers. Also, LPA toured the facility, including the memory care unit, and observed residents R1 and R2 in the memory care hallway with appropriate clothing and shoes. Interview with staff reveal that it is not unusual for memory care residents to share or forget clothing items. LPA observed a storage closet in the memory care common area with lost items and observed these items with names. These allegations are therefore unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED at this time. An exit interview was conducted where this report was discussed and provided to facility representative. Allegation 3: Facility is in disrepair. On 4/7/22, LPA Bueno observed the facility front double doors with a broken left door and observed maintenance staff repair the door. LPA observed the same facility door permanently secured with a sign posted to "use other door", the right one, during a subsequent visit on 5/6/22. Also, LPA Bueno received video recording of a leaky ceiling in a facility common room. Based on interviews and records review, the above allegations are therefore SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. These pose health and safety risks to residents in care. Refer to LIC 9099D for deficiency cited. An exit interview was conducted with Mrs. Soto and a copy of this report, LIC 9099D, and appeal rights were provided.