complaint·August 27, 2024

"AMENDED" This is an amended version of the original report created on August 27, 2024-SEE BELOW. Complaint alleges that Medications are not disposed of as required and Medications are not stored securely. During the course of the investigation, LPA toured the facility on July 9, 2024, and observed no evidence to suggest that medications are left unsecured or on the floor. On July 16, 2024, LPA conducted a subsequent complaint investigation inspection and toured the facility which included the garage. LPA observed no evidence of medications being on the floor or unsecured. LPA observed the medication room where medications are locked and stored inaccessible to residents in care and found no concerns. On July 29, 2024, LPAs, Farhaan Sarangi and Sarah Benson conducted a subsequent complaint investigation inspection, LPAs toured the facility and observed no evidence of medications being on the floor or unsecured in the garage and the medication room. On August 20, 2024, LPA conducted a subsequent complaint investigation inspection and toured the facility which included the garage. LPA observed no evidence of medications being on the floor or unsecured. Complaint alleges that medication dispensed records have forged initials. During the course of the investigation, LPA interviewed the staff members and reviewed the Medications Administration Record (MAR). LPA observed no forge initials on the suspected dates of administration. Furthermore, LPA received inconsistent statements and could not corroborate the allegation. Complaint alleges Residents are confined to bed. Based on LPA observations during the tour of the facility on July 9, 2024, July 16, 2024, July 29, 2024 and August 20, 2024. LPA could not corroborate the allegation that residents are confined to bed. Furthermore, during said tours, LPA observed no chairs or any other items blocking the access of resident rooms or beds. Complaint alleges insufficient nighttime supervision for wandering residents. During the course of the investigation, LPA received inconsistent statements and could not corroborate the allegation. Attempted interviews were conducted with the residents on July 9, 2024, which were unsuccessful due to the residents sharing limited information to the LPA. (Report continued on LIC 9099C) "AMENDED" This is an amended version of the original report created on August 27, 2024-SEE BELOW. Complaint alleges that staff training not complete. During the course of the investigation, LPA reviewed staff records and observed no concerns as it relates to staff training. LPA learned that staff members who provide care and supervision have valid First Aid/CPR Cards. Furthermore, LPA could not corroborate the allegation due to inconsistent statements. Complaint alleges that Facility not maintained clean. Based on observation and tours of the facility on July 9, 2024, July 16, 2024, July 29, 2024 and August 20, 2024, LPA observed the facility to be clean with all exits free from obstruction. LPA could not corroborate the allegation. Complaint alleges Staff Member was acting inappropriately and Lack of Supervision of resident. During the course of the investigation, LPA interviewed staff members and learned of no concerns as it relates to the alleged staff member acting inappropriately. Furthermore, LPA made an attempt to interview residents in care on July 9, 2024 but was unsuccessful due to the residents sharing limited information. LPA observed residents to be content in placement. A finding that the complaint allegation of medications not recorded as required, medications not disposed of as required, medication dispensed records have forged initials, Residents confined to bed, insufficient night time supervision for wandering residents, staff training not complete, Facility not maintained clean, Medications not stored securely, Staff Member was acting inappropriately and Lack of Supervision of resident are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed, printed and given to the Administrator. LPA conducted an interview with the Licensee on July 9, 2024, at 10:38 AM and learned that the Licensee was under the assumption that it would be beneficial to give the medication at 08:00 PM instead of what the medication order indicated. LPA educated the Licensee on the importance of dispensing medications at the appropriate times and per doctors orders (See LIC 9099D). Complaint alleges that Child monitors used for supervision. Based on observation, LPA toured the facility on July 9, 2024, and July 16, 2024, and observed no monitoring. However, during a tour of the facility on July 29, 2024, both LPA Farhaan Sarangi and Sarah Benson observed a audio/child monitoring device in Resident #1’s room. The Caregiver on duty that day removed the audio/child monitor and placed it on top of the kitchen microwave. LPA educated the Licensee regarding the importance of ensuring that staff members including administrative staff are providing the Care and Supervision as outlined in Title 22 regulation and not depending on audio/child monitoring systems in bedrooms of residents in care (See LIC 9099D). Complaint alleges that staff are not criminal record cleared. Based on observation of facility records which included the Guardian on July 10, 2024, LPA observed that Caregiver #1 has not been background cleared and is currently “In Process.” A subsequent complaint investigation inspection was conducted on July 16, 2024, and Caregiver #1 was observed providing Care and Supervision to residents in care. LPA educated the Licensee regarding ensuring that ALL staff are background cleared PRIOR to working at a Residential Care for the Elderly (RCFE) facility (See LIC 9099D and LIC 421BG-Civil Penalty). Deficiencies cited from the California Code of Regulations, Title 22, Division 6, Chapter 8 of California Regulation. Civil Penalty assessed in the amount of $100.00 due to Uncleared Staff Member. Appeal rights were provided. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in additional civil penalties. Exit interview was conducted, and a copy of this report was signed and given to the Administrator.