complaint·September 26, 2023

The complainant further noted that the facility is not maintained clean and sanitary, with several reports of foul odors in the residents' rooms. Furthermore, it was reported that the facility staff is not meeting the residents' laundering needs and is not providing them with food and water at night. During the investigation, it was observed that the facility sufficient number of staff members available, which did not affect their ability to provide adequate care to the residents used the registry for additional staffing needs. The staff-to-resident ratio is 22:1 depending on census. Interviews conducted with staff members revealed that there were not any instances where unqualified individuals were assigned to provide care to residents. An onsite inspection of the facility did not confirmed the complaints about the lack of cleanliness. Several areas, including residents' rooms, bathrooms, and common areas, were found to be adequately maintained, with no visible dirt, dust, and odors present. Residents laundering needs are done once a week, with beds made daily. Moreover, residents have refrigerators in their rooms and snacks are provided on the second floor of the facility as well as in the kitchen after hours. Resident can also leave the facility and bring food in. Residents' records did not indicate any discrepancies or inaccuracies in documentation, suggesting a lack of attention and diligence on the part of facility staff. Furthermore, training's for staff are done online and on a monthly basis. Response time on average is between 15-20 minutes for staff to respond to pendent calls. There were no reported instances where facility staff removed and hid resident's emergency call pendants, limiting their ability to seek help when needed. There was insufficient evidence found to support the allegations that Facility does not have sufficient staff to meet the needs of the residents; Unqualified staff are providing care to residents; Due to lack of sufficient staff, residents are made to wait an excessive amount of time for assistance; Staff does not maintain facility clean and sanitary; Facility staff does not maintain residents' rooms free of odors; Facility staff are not meeting residents' laundering needs; Facility staff are not providing residents food and water at night; Facility staff are not accurately maintaining residents' records; Facility staff are not adequately trained; Facility staff removes and hides residents' pendants; Facility staff does not ensure that residents are adequately fed; Facility staff did not serve appropriate food for resident resulting in resident choking; Due to a lack of evidence, the allegations are deemed to be Unsubstantiated. A finding that is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Katrina Jimenez, Resident Services Director. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Resident Services Director and her signature on this report confirms receipt of the Licensee Rights.