complaint·May 26, 2021

Complaint alleges that residents' personal rights were violated due to staff not wearing face coverings while providing care for residents. Based on interviews with the Administrator, staff and outside parties it was found that two staff S1 & S2 were observed providing care for residents without the use of face coverings based on facility COVID mitigation plan and protocols, therefore the allegation is SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Appeal Rights Given. Signatures on file Complaint alleges facility failed to appropriately report resident condition to R1's Physician. Based on staff interviews and a review of resident records LPA found that the facility recorded chart notes for R1 whenever there was a change of condition. R1's chart notes also indicated that the facility notified R1's family and Physician. LPA however was unable to find any corroborating evidence that the facility was consistent with the information provided to R1's Physician compared to R1's chart notes meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies cited. Appeal Rights given. Signatures on file.