Complaint·September 19, 2023

(CONTINUED FROM LIC9099-A) brownish colored stain which was thick enough to be crusted in some areas. Based on LPA’s observations, interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099-D. An exit interview was conducted and a copy of this report was provided along with LIC811- Confidential Names list and Appeal Rights. (CONTINUED FROM LIC-9099) checked on every thirty (30) minutes. Review of R1's Physician's Report, Level of Care Assessments, and Progress Notes did not indicate R1 required direct supervision. LPA attempted to interview R1 however, R1 did not verbally respond to LPA's presence or inquires. Interview with R1's responsible party revealed they are happy with the care R1 is provided. Regarding the allegation "Resident is not fed regularly", it was alleged that R1 was noted to have severe weight loss. Review of R1's Physician's Report dated 8/29/2022 revealed R1 was able to feed themselves. Review of R1's Level of Care Assessment dated 5/12/2023 revealed R1 only required reminders of meal times but did not require assistance with feeding. Review of R1's Weight Record for June 2022 to May, 20, 2023 revealed R1's weight was 146 lbs. on 6/1/2022. R1's weight was noted to be 133 lbs. on 5/20/2023 indicating a weight loss of thirteen (13) pounds in nearly one (1) year's time. The weight record also indicated three (3) separate instances of weight gain following weight loss during that same period. Six (6) of six (6) staff interviewed reported R1 had a good appetite and ate well. LPA attempted to interview R1 however, R1 did not verbally respond to LPA's presence or inquires. Interview with R1's responsible party revealed the food R1 is provided at the facility is very good and that R1 was fed well. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report was provided along with LIC811- Confidential Names list. *THIS IS AN AMENDED REPORT