complaint·February 29, 2024

Interviews with residents, staff, and outside sources revealed that due to an outside dispute, facility staff were instructed by outside parties to deny R1 visitation with Outside Party 1 (OP1). Interviews revealed that OP1 was denied visitation with R1 on multiple occasions and that, at the time of when the Department received the complaint, there was no legal order restricting OP1’s ability to visit with R1. Interviews were not able to confirm if R1 had been asked if R1 wanted to see or visit with OP1. Review of a document regarding visitation for R1 revealed that outside parties requested that facility staff restrict visitation to only approved individuals. Interviews did not reveal that staff prevented the visitation of any other residents or outside parties. The Department has investigated the above-mentioned allegation and based on interviews and records review, 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 House Manager Lauren deLantis via telephone and Caregiver Leonor Gaya, whose signature below confirms receipt of a copy of this report, LIC811, and the Licensee Appeal Rights (LIC9058 03/22). Interviews and records review revealed that after the fall, R1 was prescribed a mediation for pain relief on an as needed basis. Interviews revealed that the pain medication caused R1 to experience drowsiness as a side effect and staff stopped giving R1 that pain medication as a result. Interviews did not reveal any concerns regarding R1’s pain management or overmedication. Interviews with staff and outside parties denied any instances of R1 or any other residents being overmedicated by facility staff. The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated. An exit interview was conducted with Caregiver Leonor Gaya, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 03/22).