complaint·May 28, 2025

Based on record review, R1 lived in the facility for only 5 days from 03/05/2025 – 03/09/2025. 3 staff members were interviewed. Based on staff interview, resident (R1) was very demanding and asked to be changed at every hour, even when he/she was dry. It was stated that the facility staff changed R1’s diapers every couple hours, or as needed if resident was soiled. The facility staff logged each time they change, turn and repositioned R1. 1 witness (W1) was interviewed. Based on witness interview, it was stated that R1 asked to be changed and wiped at every hour during the night. W1 states that he/she tried to accommodate to R1's needs and assisted R1 at every request. W1 states there to be one time where W1 was on break eating lunch at the facility's kitchen table where R1 asked to be changed. W1 states that he/she informed R1 that he/she will be back and came back in 15 minutes. W1 denied coming back after an hour. 3 out of 3 staff denied leaving a resident and R1 soiled for a long period of time. 1 resident was interviewed. 4 out of 5 resident interviews were attempted. Based on resident interview, the resident denied being left in soiled diapers for a long time. Resident states that the staff assist him/her whenever he/she needs assistance. Resident stated the staff responds to him/her right away and never had to wait more than 10 minutes for help. Based on record review of the facility’s activities of daily living (ADL) log, it shows that R1 diaper was changed every 2-3 hours from 03/05/2025 – 03/09/2025. It was alleged that the facility staff did not feed resident as the resident stated that he/she had not eaten. Page 2 of 3. 3 staff members were interviewed. Based on staff interview, 3 out of 3 staff states that each resident is provided 3 meals a day and a snack in between, if requested. Staff stated a time where R1 requested food that they did not have at the time but R1 was always offered alternatives. Staff denied R1 ever missing a meal. It was stated that they log each time the resident is provided a meal. 1 resident was interviewed. 4 out of 5 resident interviews were attempted. Based on resident interview, it was stated that the residents are provided 3 meals a day. Resident denied missing a meal. During visit on 03/20/2025, LPA observed 2 residents eating breakfast inside their bedrooms. One resident was served pancakes, fruit salad, and coffee that morning. The second resident was observed eating breakfast in his/her room with the assistance of staff. It stated that the remainder of the resident’s wake up earlier, therefore, was fed breakfast earlier. Based on observation of the facility’s food supplies, the facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. The review of records show that R1 was provided 3 meals a day and snacks in between. The Department has investigated the above allegations. Based on interview, record review and observation the above allegations are unfounded, meaning the allegations are false, could not have happened, and/or is without a reasonable basis. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Administrator, Syeda Haroon and a copy of the report was provided. Page 3 of 3.