Complaint·March 18, 2024

As they did not have enough food supplies, they went grocery shopping to ensure items were enough. Licensee said that they did have more than enough meats in their freezer and their canned foods were in storage as they were cleaning their pantry. On March 18, 2024, during the visit, LPA observed that there were sufficient food items for three residents. There were at least 2 days of perishable food and 7 days of non-perishable food items stored which included fruit, vegetables, canned food items and snacks for the residents. Snacks included popcorn, crackers, muffins, and fruit. Based on the information obtained there is sufficient evidence to support the allegation and is being cleared during today’s visit. It was specifically said that the licensee did not provide residents access to a telephone. Interviews with Licensee said that during their inspection from their third party-vendor they found out that their phone was inoperable. According to the Licensee, they contacted their phone company and had them come out to inspect their lines. According to the Licensee their phone company said that it was their phone that was inoperable. That same day, Licensee was able to purchase a new phone. During the visit on March 18, 2024, while LPA toured the facility, Licensee was able to show LPA the former phones that were inoperable. LPA was able to take photos of the inoperable phones. During the visit, LPA saw a new phone in the kitchen area and able to make a phone call with no issues. Based on the information obtained, there is sufficient evidence to support the allegation and is being cleared during today’s visit. Based on the Department’s investigation of the above-mentioned allegations and the evidence obtained during staff and outside source interviews and LPA observations, there is sufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegations are deemed to be substantiated. California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC9099-D. The report was discussed, plan of correction was jointly developed, and an exit interview was conducted with Licensee Bessie Pascual. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) was provided to Licensee Pascual at the conclusion of the visit. The signature below confirms the receipt of these documents. It was specifically alleged that the Licensee did not have the residents cash resources on the facility premise and was located off site. Interviews with Licensee said that they do have the funds on site in their room. Licensee demonstrated to LPA where the cash resource funds were located on the facility premise. On March 18, 2024, LPA toured the facility and observed where the Licensee kept the residents cash resources on the facility site. The binder was located where the Licensee resides when on the facility premise. Based on the information obtained there is insufficient evidence to support the allegation. It was specifically alleged that there was no emergency fire drills, but then said that there were drills observed at a later date. Interviews with the Licensee said that they do have the fire drills. A review of records revealed that the fire drills are located in a binder for the last three years and going ongoing to four years. On March 18, 2024, LPA observed that the records were located in a locked area and had the drills up to date. They currently will need to have their next drill this month. Based on the information obtained, there is insufficient evident to support the allegation. It was specifically alleged that the facility did not have the resident records current with Admission Agreements, IPPs and medical assessments. Interview with Licensee said that during their inspection with their third-party vendor they only mentioned that only one clients missing their Admission Agreement for their third party vendor. A review of records revealed that client records were all intact. There were three residents whom had their paperwork up to date. On March 18, 2024, LPA inspected their binders and was able to review the clients records. All records were up to date. Based on the information obtained, there is insufficient evidence to support the allegation. Based on the Department’s investigation of the above-mentioned allegations and the evidence obtained during staff and outside source interviews, records reviewed, and LPA observations, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegations are deemed to be unsubstantiated. The report was discussed and an exit interview was conducted with Licensee Bessie Pascual. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to Licensee Pascual at the conclusion of the visit. The signature below confirms the receipt of these documents.