complaint·January 9, 2025

****this is an amended report**** (Continued on 9099-C) Regarding the allegation that the licensee did not provide care to meet the needs of the R1. All staff interviews acknowledge issues with being short-staffed, but most do not believe it directly caused resident needs to go unmet. Interviews with both Licensee and staff and in July of 2021 state R1's needs were being met. Interviews with R1's responsible party and Licensee reveal home health care was providing only OT (Occupational Therapy) and PT (Physical Therapy) to R1. R1's responsible party's email states that verbal orders were given by home health care to the facility to provide a high-protein diet to R1. Licensee response to interview questions in July of 2021 indicate that meal plans are provided to staff with a variety of options and the facility provides balanced meals. Licensee's response to interview questions also reveals R1's responsible party asked for R1 to be turned every 2 hours, not home health care. Although it was alleged that Licensee staff did not meet the needs of R1 Interviews and records reviews were unable to affirm that the facility staff did not follow the orders given by the home health service provider. Regarding the allegation that licensee did not safeguard residents personally belongs, specially the remote control for a TV. Licensee response to interview questions in July 2021 indicate Licensee owned TV equipment, including the remote control, therefore resident did not own personal equipment in question. Interviews and record reviews were unable to affirm that the Licensee did not return all personal belongings to R1 upon departure from facility. [See LIC 811 Confidential Names List for a description of person identifiers used in this report] Based on interviews and records review, while the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred – therefore the allegations have been determined to be UNSUBSTANTIATED. An exit interview was conducted over the phone with Licensee Arcelao and Care Giver Teresita Duelayan to whom a copy of this report was reviewed and provided. Their signature below confirms receipt of these documents.