complaint·April 25, 2022

The second allegation indicates Resident's toileting needs are not being met. LPA Brown did not find evidence to corroborate the allegation. Interviews with staff, residents and documents review indicated residents toileting needs are being met. Interviews with staffs indicated all residents incontinence needs are checked by staff every two (2) hours. Interviews with residents revealed that all staff checks on them and their incontinence needs are met. The third allegation indicates Resident's bathing needs are not being met. LPA Brown did not find evidence to corroborate the allegation. Interviews with staff, residents and documents review indicated residents toileting needs are being met. Interviews with staffs indicated that they have a Bathing Schedule that they follow to make sure all residents bathing needs are met. Interviews with residents indicated that their bathing needs are met at the facility. Administrator Garcia showed proof of Bathing Log and Bowel Movement Log of a resident during the visit. Based on interviews and records review, the above allegations Questionable Death (Allegation #1), Resident's toileting needs are not being met.(Allegation #2), and Resident's bathing needs are not being met (Allegation #3) are UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report (LIC9099) was discussed and provided to Administrator Michael Garcia. Interviews with staff and residents revealed that it takes about 10 minutes to 15 minutes for a staff to respond to residents when they need assistance by pressing the call/pull cord button. The third allegation indicates Resident has sustained several unwitnessed falls due to lack of supervision. LPA Brown did not find evidence to corroborate the allegation. Interviews with staff, residents and witness indicated that few unwitnessed falls occured at the facility and staff always helps residents. Also, interviews with staffs, residents and witness indicated that there's no incident that a resident sustained unwitnessed falls due to lack of supervision. Based on LPA Brown’s observations, interviews, and record review, the above allegations Insufficient staffing to meet resident's needs (Allegation #1), Staff did not respond to resident's call button in a timely manner (Allegation #2), and Resident has sustained several unwitnessed falls due to lack of supervision (Allegation #3) are UNSUBSTANTIATED. A finding of unsubstantiated means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report (LIC9099) was discussed and provided to Administrator Michael Garcia.