complaint·April 17, 2025

(Cont'd from 9099C, page 2) (R1) did not subsequently contract for continued one hour checks in care plan or admission agreement. This allegation is unsubstantiated. It was alleged the facility did not provide (R1) basic laundry service. (R1) contracted with facility to launder (R1) laundry once a week. Staff said that (R) had a history of mixing clean clothing with dirty clothing. Staff set the laundry hamper outside the room so clothing would not get mixed up. Staff were reminded by an outside party, on occasion, to do (R1) laundry and they laundered the clothing. Therefore, this allegation is unsubstantiated. It was alleged that resident's call pendant was not working. Staff confirmed that resident call pendants were replaced immediately when staff became aware of the malfunction. Extra pendants are stored at the front desk. Staff interview and LPA observation indicated that staff have a call pager and walkie-talkie to respond to a resident call. Staff also have a master pendant to check on the operational status of the resident pendant before staff leave the resident unattended. Resident interviews confirmed that their pendants had never failed. Therefore, the allegation is unsubstantiated. An exit interview was conducted with Cameron Azemikhah to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058 03/22) were provided. His signature on this form acknowledges receipt of these rights. (Cont'd from 9099A) Cameron Azemikhah confirmed caregiving staff are trained to get a battery from the front desk to change a battery in a chirping smoke alarm. He said there are always batteries at the front desk. The local fire department reported that a smoke alarm is still working when it chirps and that the smoke alarm would alarm in the event of a fire. This allegation is unsubstantiated. It was also alleged (R1) personal items were not safeguarded. (R1) listed items and signed an inventory list to indicate personal items brought into the facility. (R1) had possession of and controlled their personal items in their room. Cameron Azemikhah said facility is a cashless facility, meaning none of the services at the facility require cash. Cameron Azemikhah recommends nothing of real value be stored in resident rooms or the facility upon admission. Cameron Azemikhah conducts an internal investigation, contacts Community Care Licensing or the police as warranted, when a valuable item goes missing. According to residents and outside sources, lost linens and clothing were replaced or financially reimbursed. The allegation is therefore unsubstantiated. It was alleged that (R1) room was not sanitary related to staff not cleaning a refrigerator and floors. (R1) residential agreement did not state who is responsible to clean (R1) refrigerator. The facility supplied (R1) the refrigerator and upon request, staff cleaned out refrigerator. Resident interviews, along with LPA observation of resident refrigerators, confirmed that refrigerators were clean. One outside source did not ask staff to clean the refrigerator but rather cleaned out old food items themselves. Outside sources, residents, staff and LPA observations confirmed carpets and floors were clean and that spots on floors were cleaned by staff. Therefore, the allegation is unsubstantiated. It was also alleged that facility did not provide adequate supervision for (R1). (R1) admission agreement and care plan indicated staff would do status checks on (R1) four (4) times per shift. There are three (3) shifts at facility for eight (8) hours each. The resident was independent in toileting and standby assistance when transferring. When resident experienced a series of falls, the facility increased supervision to one hour checks. (Cont'd on 9099C page 2) (Cont'd from 9099C) The Department has investigated the above-mentioned allegation and has found that based upon record review and interviews, a preponderance of evidence exists to support the allegation. Therefore, this allegation is deemed substantiated. A deficiency is being cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). An exit interview was conducted with Cameron Azemikhah, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided during the visit. His signature on this form acknowledges receipt of these rights.