complaint·September 18, 2024

Staff are not brushing residents teeth: On 3/17/2023, LPA interviewed Administrator (ADM) ADM stated all the 6 residents need help to brush teeth. ADM stated the staff help residents to brush teeth twice per day. ADM stated all 6 residents cannot communicate very well. LPA interviewed staff S1. S1 stated all 6 residents need help to brush teeth. S1 stated all 6 residents receives teeth brushing twice per day. LPA interviewed staff S2. S2 stated all 6 residents need help to brush teeth. S2 stated 5 out 6 residents receive twice teeth brushing per day. S2 stated 1 out of 6 resident needs to take out the denture to clean. LPA interviewed 6 residents. 3 out 6 residents were unable to answer the questions. 2 out 6 residents stated they can brush teeth by themselves. 1 out of 6 resident was unable to confirm how often he/she receives teeth brushing. LPA looked at resident R1's teeth, LPA did not see food left in the mouth or left on the teeth. LPA was unable to find out R1's teeth has oral hygiene issue. Based on the interviews and observation, there is no evidence that the staff are not brushing residents' teeth. The Department has investigated the above allegations. Based on the investigation, and interviews conducted, the Department found that the above allegation is UNFOUNDED , meaning that the allegation is false, could not have happened and/or is without a reasonable basis. No citations noted at today’s complaint investigation visit. Exit interview was conducted with ADM. A copy of this report was provided to ADM. Page 2 of 2. Staff did not take resident to the doctor: The allegation is that the facility did not make a doctor appointment for resident R1after R1 obtained an eye injury in February 2023. On 3/17/2023, LPA interviewed ADM. ADM stated the facility helps resident R1 for doctor appointment. ADM stated R1's has eye doctor appointment on 3/28/2023. During LPA's visit, resident R1 was observed with a red eye on his/her left side. LPA interviewed R1. R1 nodded his/her head when was asked if he/she wanted to see eye doctor, but was still waiting. On 10/17/2024, LPA interviewed House Manger (HM). HM stated R1 had eye injury on 2/14/2023 or 2/15/2023 around 7-8 PM when staff was transferred R1 from wheelchair to bed and R1 obtained accidentally injury by hitting the head of the bed. HM stated R1 did not obtain bruise or open wound during the incident. HM stated R1's eye was not observed red for the first 3-4 days after the occurrence of the incident. HM stated the facility contacted R1's family doctor on 2/18/2023 for R1's red eye. HM stated the doctor prescribed OTC eye drop and ointment for R1 as needed. HM stated on 3/3/2023 R1's family doctor referred R1 to an eye doctor. HM stated the facility made an eye doctor appointment for R1 on 3/28/2023. R1's eye worsen after the occurrence of eye injury on 2/14/2023 or 2/15/2023. Based on the interviews and observation, resident R1 had eye injury and red eye, the facility staff administered doctor prescribed OTC medications to R1. The facility made eye doctor appointment for R1 more than one month after the occurrence of the eye injury. Continue on LIC9099-C. Page 2 of 3. Based on the interviews and observation, the facility did not seek timely medical attention for R1's eye injury and took more than one month to make doctor appointment. The Department has investigated the above allegations and the preponderance of evidence standard has been met. Therefore, the Department found the above allegations to be SUBSTANTIATED. Deficiencies were cited per California Code of Regulations, Title 22. See LIC9099-D. Exit interview was conducted with ADM. This report was provide to ADM for signature. A copy of the report was provided to ADM. Page 3 of 3.