complaint·April 3, 2025

Service Director informed LPA that no injuries were observed on R#1 during (3/19/2025 and 4/01/2025) incidents. Second allegation: Staff left resident in a soiled diaper for a long period of time. Regarding the allegation “Staff left resident in a soiled diaper for a long period of time” LPA conducted an interview with Resident #1 regarding the allegation, Resident #1 informed LPA that caregivers change resident diaper/pull-up when needed. LPA asked resident if staff has left resident on a soiled diaper for a long period of time Resident#1 informed LPA that during the times resident does not want to be bothered is when resident diaper/pull-up does not get changed. LPA conducted interview with Staff #1 and Staff #2 and both informed LPA that on several occasions Resident #1 has refused care. LPA conducted a review of records and discovered that on: (3/26, 3/27, 3/28, 3/29, 3/30, and 4/2), Resident #1 has refused care. Third allegation: Staff did not clean resident's bedroom floor. Regarding the allegation “Staff did not clean resident's bedroom floor.” LPA conducted a walkthrough of Resident #1 room and observed floors to be clean and free from biohazard (fecal matter), or any waste that can pose as a health risk to Resident #1. In addition, Resident #1 room was free of odors and LPA observed R#1 room to be free from any bodily fluids. LPA conducted record review and discovered through housekeeping schedule that Resident #1 room gets clean once a week every Sunday. Fourth allegation: Staff did not safeguard resident's personal items. Regarding the allegation “Staff did not safeguard resident's personal items” LPA conducted an interview with Resident #1 regarding the allegation LPA asked Resident #1 if resident was able to list and describe the personal items that went missing. Resident #1 was not able to list or describe the personal items that went missing. Resident #1 informed LPA that Resident was not sure about the items that went missing. Fifth allegation: Staff do not ensure that resident is provided with clean clothing as needed. Regarding the allegation “Staff do not ensure that resident is provided with clean clothing as needed.” LPA conducted an interview with Resident #1 regarding the allegation Resident #1 informed LPA the resident’s sister picks-up residents’ laundry and washes Resident #1 Laundry. Resident #1 informed LPA that resident sister has not picked-up resident’s clothes to be washed. LPA conducted a record review and discovered that on 3/28/25 Resident #1 responsible party refused to take Resident #1 laundry. During review of record LPA discovered that on 12/20/2023 facility provided a service update to all residents along with resident’s responsible parties informing that as of March 1, 2024, facility will be providing two laundry service options: (1 load per week=$100/month and 2 loads per week=$200/month), Staff #1 informed LPA that laundry services are not free and that its an additional charge. During further review LPA discovered that Resident #1 was issued a 30-day notice due to non-payment and having an outstanding balance of $17,140.00. Staff #1 informed LPA that Resident #1 outstanding balance also includes non-payments for laundry services. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegation is 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 Business Office Manager Lizeth (Lisa) Gomez at the end of the visit.