complaint·June 27, 2023

The second allegation indicates Staffs did not report unusual incident to resident's POA. Residents interviews indicated that staffs at the facility are reporting unusual incidents to residents family, responsible party or Power of Attorney (POA). Staffs interviews revealed that the facility has proper procedure in place on reporting unusual incident report to residents family, responsible party or Power of Attorney (POA) and there's no incident that happened at the facility that a staff did not report a resident unusual incident to residents' POA. The third allegation indicates Staffs do not assist resident with incontinence needs. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with residents indicated that staffs are assisting residents with incontinence needs, Residents reported that staffs are checking on them if they needed to be changed three (3) to four (4) times per day. Staffs interviews indicated that they are assisting residents with incontinence needs. Staffs interviews revealed that they are checking on their residents every two (2) hours, three (3) hours or sometimes more frequently as it depends on the care plan of the residents. Staffs interviews indicated that there's no incident that happened at the facility that a staff did not assist a resident with incontinence needs. Based on interviews and records review, the allegation Resident sustained burn injury while in care (Allegation #1), Staffs did not report unusual incident to resident's POA (Allegation #2), and Staffs do not assist resident with incontinence needs (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. An exit interview was conducted, where this report (LIC9099) was discussed and provided to District Director of Operations Luis Rodriguez.