complaint·September 9, 2024

Furthermore, Nurse also admitted to the allegation being true (See LIC 9099D). Complaint alleges Reporting Requirements. Based on an interview with the Nurse on July 15, 2024, LPA received consistent statements which meets the preponderance of evidence standard. Furthermore, during the interview with the nurse, LPA learned that the facility did not report this incident and that the facility did not follow Reporting Requirements. LPA educated the Administrator on the importance of ensuring that all reportable incidents are reported to Community Care Licensing Division (CCLD) (See LIC 9099D). Deficiencies cited from the California Code of Regulations, Title 22, Division 6, Chapter 8 of California Regulation. Appeal rights were provided. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview was conducted, and a copy of this report was signed and given to the Administrator. LPA received inconsistent statements and could not corroborate the allegation. Furthermore, during an interview with Resident #1, LPA learned that the facility filled the script timely when it was ready by the pharmacy. Complaint alleges that Resident was found sleeping on soiled sheets. Based on an interview that was conducted with Resident #1, LPA received inconsistent statements. Furthermore, during a tour of the facility on July 15, 2024, LPA observed residents to be appropriately dressed and free from continence. Facility and the resident bedrooms were found to be clean. LPA toured a sample of resident bedrooms which were observed to be appropriate and smelling good. Complaint alleges Resident fell and was not checked on after the fall. Based on an interview that was conducted with Resident #1, LPA received inconsistent statements as it relates to the allegation. Furthermore, Resident #1 acknowledged of falling and being checked on by facility staff after the fall occurred. Complaint alleges that Resident was over-charged. The Department's Auditor from the Investigations Branch reviewed the allegation and associating documents which includes the billing related to the allegation and found that the resident was not overcharged for the care and services that were being provided by the facility. The report also noted that the resident received a refund after discharge due to the rent being paid in advance. Complaint alleges Facility staff falsified documentation. Based on interviews that were conducted, LPA received inconsistent statements. Facility staff have denied falsifying documentation. In addition, during a review of Resident #1's record, LPA reviewed documents and could not find any evidence that the facility was falsifying documents. A finding that the complaint allegations of Medication left accessible to resident in care, Facility ran out of medication for resident, Resident was found sleeping on soiled sheets, Resident fell and was not checked on after the fall, Resident was over-charged and Facility staff falsified documentation are unsubstantiated meaning that although the allegations 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 and given to the Administrator.