Complaint·March 30, 2021

Staff are not familiar with Emergency Disaster Plan : On 11/20/2020, LPA interviewed ADM about facility staff's familiarity of facility Emergency Disaster Plan. A resident received a text notification regarding fire evacuation in the area. This resident was concerned and went to the front desk and asked the staff (S4) to inquire if the facility received an evacuation order due wildfires. Alleged that staff (S4) was not aware of fire evacuation order, and when asked about facility's Emergency Disaster on Fire, S4 did not know. S4 was not interviewed as S4 is no longer employed at the facility. ADM narrated the facility Emergency Disaster Plan, and described her team members' roles in the Emergency Disaster Plan. ADM stated the facility has the drill every quarter. ADM provided the facility emergency plan detail and the drill reports to LPA. LPA interviewed staff (S5, S6, S7, S8 and S9) about the emergency disaster plan. All staff narrated and described what they need to do during the emergency. Staff were able to respond to questions about what to do during emergency situations in the facility. All staff received training on emergency disaster drills. Continued, see LIC 9099-C, page 4 of 4 The department has investigated the above allegations. Based on the investigation, observations, records reviewed, and interviews conducted, the Department found that the above allegations are UNSUBSTANTIATED . An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations did or did not occur. No deficiencies or citations noted at today’s compliant investigation visit. Exit interview conducted with Administrator. A copy of this report was provided via email for signature. Staff did not assist residents with feeding: On 11/25/2020, LPA interviewed ADM regarding a complaint wherein a resident (R1) was not assisted with meals about a year ago. ADM stated that the incident happened in the dining room. ADM stated that caregivers were assisting more than one residents at one time. ADM stated that R1 was assisted with meals but it might have looked like that R1 was not being fed because staff were taking turns to fed other residents. ADM stated the facility started to provide the meals at resident room and helped the resident at resident room if the residents needed help for eating since the COVID-19 pandemic March 2020. Staff not keeping residents safe from other residents: On 11/20/2020, LPA interviewed ADM regarding resident (R4) hitting another resident. ADM stated that facility was aware of R4's aggressive behavior which happened two years ago. ADM stated that R4's aggressive behavior has been addressed at that time. ADM stated that the facility put all their effort to protect residents for potential risk or injury towards other residents. ADM stated R4 did not hit other residents. ADM stated that R4's family was informed about R4's behavior. ADM stated that R4 was transferred at another facility that can meet R4's need. Continued, see LIC 9099-C, page 3 of 4