Complaint·October 24, 2024

[continued from 9099] Regarding the allegation, facility showers do not dispense hot water in the memory care unit. LPA toured the facility and took water temperatures of showers and facets in the memory care unit on three separate visits in the last three months, as well as the annual visit conducted in February 2024. All faucets used by residents for personal care delivered hot water and were operational. The hot water was complaint with CCLD regulations. Interview with three outside sources also confirm they have not observed any issues with the water temperature in the showers of the residents in the memory care unit. Regarding the allegations, facility has insufficient staffing to meet the needs of residents which results with memory care residents being placed on the floor. Record reviews of staff shift schedules as well as interviews with outside sources and the resident care directory for the memory care unit reveal there is an adequate number of direct care staff to support each resident's physical, social, emotional, safety and health care needs. LPA observations during unannounced visits and interviews with outside sources reveal no witness to the residents being placed on floor due to lack of supervision. Regarding the allegation, licensee staff use objects to obstruct the doorway in the memory care unit. Interviews with four outside sources in the memory care unit of the facility as well as the assisted living unit reveal all outdoor and indoor passageways and stairways were kept free of obstruction. Regarding the alarm in the memory care unit is in disrepair. LPA observed on three visits in three months the fire department approved delayed egress alarm system was working inside as well as the perimeter of the care unit. Interview with outside sources as well as staff reveal no observation of delayed egress not working or in disrepair. [continued on 9099-C page 2] [continued form 9099-C] Regarding the allegation of staff are not adequately trained. Records reveal licensee conducted required title 22 training to staff before staff could work alone with residents. Records reveal monthly in service training to all staff including working with dementia residents, hand washing, residents rights, fall awareness/prevention,ect. The records also indicate drills are conducted for elopement procedure and fire safety. Regarding the allegations, the facility Administrator is not available a sufficient amount of time to manage the daily operations of the facility. Records reveal administrator staff is scheduled in the memory care unit as well as the assisted living portion of the facility for a sufficient amount of time to satisfy staffing needs. Interviews with staff confirm they are able to reach out to supervising staff when needed. Regarding the allegation, Lack of supervision resulted in resident elopement from the memory care unit, it was alleged that a resident eloped from the facility due to staff not providing adequate supervision. Record reviewed showed that internal investigation of the incident was conducted, and LPA interviews and record reviews revealed the facility had in place an Absentee Notification Plan/Policy and followed the policy procedure when the elopement took place. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations were deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) was provided to Resident Service Director Maureen Manzon whose signature below confirms receipt of these rights.