Complaint·September 25, 2024

Page 2 of 4. Licensee did not ensure residents records are complete and current. /Staff does not have 40 hours of required training. / Staff assisting residents with self-administration of medication do not have required medication training. On 11/6/2023, the LPA reviewed 3 staff files and 3 resident files. All files were complete and current, including the required training for staff and medication training. Administrator (ADM) worked on R1 and R3’s physician to update LIC 602A’s Physician’s Order at the time of the visit. This was a plan of correction ADM was working on as a result of a deficiency cited during facility’s annual inspection on 9/21/2023. Facility placed cameras in the facility without the residents/responsible party’s consent. On 9/21/2023, during the facility’s annual inspection, LPA observed cameras in resident’s rooms which were placed without resident’s consent. ADM’s plan of correction was to remove the cameras until written consent was provided by resident and/or resident’s responsible party. On 11/6/2023, the Department interviewed ADM. ADM stated on 9/21/2023, after facility’s annual inspection, ADM removed all cameras in the facility. During visit on 11/6/2023, the LPA did not observe any cameras at the facility. The facility is not meeting residents Recommended Dietary Allowance. On 11/6/2023, the Department interviewed two staff (S1-S2) and ADM. Three out of three staff stated there is an established food menu which accounts for resident’s requests and any special diets the residents require based on the physician’s order. Page 3 of 4. On 11/6/2023, the Department interviewed 3 residents. Three out of three residents stated the food was okay and they did not have any complaints regarding the food served at the facility. During the visit on 11/6/2023, the LPA observed the facility food supply where the facility had a variety of food, including fruits, vegetables, and canned foods. LPA also observed lunch service and residents were served chicken pot pie and a bowl of fruit. Facility not providing activities which foster and maintain independent functioning. On 11/6/2023, the Department interviewed two staff (S1-S2) and ADM. Three out of three staff stated the facility staff provide activities such as walks, playing cards, read books, watch tv or sports. Staff S1 stated the residents have physical therapist visitations at the facility and staff will encourage the residents to exercise their arms and legs. Staff S2 stated the staff will interact and mingle with the residents as well. On 11/6/2023, the Department interviewed 3 residents. Two out of the three residents stated the facility provide activities and they are satisfied with activities provided. One out of the three residents did not answer any questions regarding facility providing activities. During the visit on 11/6/2023, the LPA did observed residents watching tv and later observed staff S1 take resident R1 and R2 for a walk outside of the facility. Facility has rodents. On 11/6/2023, the Department interviewed two staff (S1-S2) and ADM. Three out of three staff stated they have not seen any rodents in the facility and have not heard of the residents complain or mention seeing rodents in the facility. Page 4 of 4. On 11/6/2023, the Department interviewed 3 residents (R1-R3). Three out of three residents stated they have seen or heard any rodents in the facility. During the visit on 11/6/2023, the LPA toured the facility and did not observe rodents or rodent feces/droppings. The Department has completed the investigation of the above allegations. Based on interviews conducted and record reviews, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Administrator and a copy of the report was provided. Page 2 of 2. Based on facility file, the facility has an Infection Control plan in place to manage outbreaks and other infections in the facility. During today's visit, LPA Rai interviewed two staff (S1-S2). Two out of two staff were able to provide information regarding facility's infection control policy, cough etiquette and hand washing procedure. During today's visit, LPA Rai observed a third party vendor who was disinfecting the facility, including but not limited to resident bedrooms, bathrooms, living room, kitchen, and outdoor space. Based on the interviews conducted with clients and staff and based on observation and records review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the above allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Administrator and a copy of the report was provided.