Complaint·August 16, 2023

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to initiate the complaint investigation and deliver findings on the above allegation. LPA met with licensee Edna Medrano was informed of the purpose of today’s visit. The investigation consisted of inspection of facility plant and staff and resident interviews. The allegation is Staff violated resident's confidentiality. During today's visit, LPA observed two whiteboards with residents' names, room numbers, dates, and names of facilities behind the medication room counter. LPA did not observe any listed diagnoses. Staff and resident interviews confirm that returning residents will bring their discharge paperwork to the med room and discuss the information with the LVN or med technician. Interviews with staff further reveal that other residents are ushered out of the med room during this process however some residents may choose to stay outside partially closed doors of the med room. This allegation is therefore 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 violation did or did not occur. An exit interview was conducted with and a copy of this report was provided to Mrs.Medrano.