Complaint·June 4, 2024

[Continued on LIC9099-C]. During the investigation, LPA Rodgers collected pertinent resident records as well as facility documentation, conducted interviews as well as contacting two hospice care facilities to acquire documents. Observation by LPA Rodgers visit revealed full bed rails were on R1 bed. Interviews with staff confirmed full bed rails (2 half rails to make a whole bed rail) have been used since move in date of R1. A records review with Hospice organization (dated March 22, 2024) and Physican's report (dated March 2024) revealed there are no orders in place for full bed rails. The Department has investigated the above-mentioned allegation and based on interviews, record review, and observations, the preponderance of the evidence has been met, therefore, this allegation is deemed substantiated. The following deficiency is cited per CA Code of Regulations Title 22 and noted on the attached LIC9099-D page. An exit interview was conducted with Licensee Lilia Opalec, to whom a copy of this report and the Licensee Appeal Rights (LIC9058 01/16) were provided via hard copy [Continued from 9099] According to S1’s LIC602 Physician’s Report (dated 05//2024): C1 has a Diagnosis of Dementia. Their doctor determined that C1 is only oriented to self only, able to follow instructions, able to communicate her needs. C1 demonstrated to LPA that they were not oriented to place, and time. However, is aware of likes and dislikes and makes the needs known to staff. LPA observations and interviews revealed staff conducts themselves in a professional manner and treats residents with dignity and thoughtfulness. LPA did not encounter allegations or evidence of S1 or other staff treating residents without respect. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted with Licensee Lilia Opalec. Appeal Rights (LIC 9098 01/16) along with a copy of this report was provided to Licensee Lilia Opalec and their signature on this form confirms receipt of these rights.