complaint·July 12, 2024

Second Allegation, Resident sustained an unwitnessed fall due to lack of staff supervision. During interviews and review of records LPA obtained an employee roster and observed facility to have sufficient care staff coverage to provide care for all residents in care. LPA also obtained an on-call employee roster in-case the facility needs coverage to provide care for all residents. LPA conducted interviews with staff pertaining to Resident #1 unwitnessed fall and all staff indicated that resident fall was the result to Resident #1 not being able to verbalize and transferring out of bed or wheelchair without care support assistance. LPA conducted interviews with residents pertaining to their overall needs and care and five out of five residents stated not having issues or concerns pertaining to their needs and care. In addition, five out of five residents stated that their needs and care are being met by caregivers at the facility. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegations are Unsubstantiated. Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Tae Kim.