Complaint·November 22, 2024

Record review of R1’s Admissions Agreement has a “Consent to Photograph” section signed by R1 in which authorizes “photographing portions of resident’s body to document skin condition”. Interview with staff reported they ask R1 and the other residents for their consent prior to taking a photo or recording so they can send it to Administrator Mundhada. Interview with residents reported witnessing staff take pictures of R1 after R1 had verbally told staff “no”. Based on LPA’s interviews and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation(s) is/are found to be substantiated. California Code of Regulations (Title 22, Division 06, Chapter 08), are being cited on the attached LIC 9099 D. An exit interview was conducted and a copy of this report, deficiency page LIC 9099-D, LIC 811, and appeal rights was provided to Administrator Mundhada. S1 denies leaving R1 on the floor on 11/04/2024 for an extended amount of time and had notified S2 and Administrator Mundhada of the unwitnessed fall to provide R1 with assistance. S1 reported R1 is a two person assist and staff also utilize a Hoyer lift to assist R1. Interview with S1 and Staff Two (S2) revealed they do not leave residents on the floor after a fall for an extended amount of time. Interview with staff reported when a resident has an unwitnessed fall, they assess the resident for injuries. If emergency medical services are needed, the staff will notify Administrator Mundhada and contact 911. Interview with two (2) additional residents reveal they have witnessed S1 and additional staff help assist R1 when they fall and have never observed R1 on the floor for an extended amount of time. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report and LIC 811 was provided to Administrator Mundhada.