complaint·May 15, 2023

In addition, LPA reviewed resident records and conducted additional interviews, and learned that Resident #1 is incontinent and that the staff work very hard to keep Resident #1 groomed, clean, fed, and safe in placement. Complaint alleges Staff do not provide resident with bed linen and shower areas are not equipped with shower curtains. Based on observations that were conducted on March 23, 2023, April 4, 2023 and May 15, 2023, LPA observed resident beds being outfitted with mattress bed linens and shower areas were equipped with shower curtains. Complaint alleges that Staff do not properly monitor residents for change in condition. Based on interviews that were conducted throughout the investigation, LPA could not prove or disprove the allegation due to inconsistent statements made throughout the course of the investigation. Complaint alleges that Staff do not supply residents with a personal item. Based on interviews that were conducted throughout the investigation, LPA learned that the facility doesn’t provide residents with personal item(s) as that is the residents responsibility and/or responsible parties responsibility. In addition, during reviews of the Admission Agreements, LPA observed and learned that it is up to the resident/residents’ responsible parties to ensure that residents are afforded with their own personal item(s). Complaint alleges that Staff do not safeguard residents' personal belongings. Based on interviews that were conducted throughout the investigation, LPA could not prove or disprove the allegation due to inconsistent statements made throughout the course of the investigation. Furthermore, during interviews, there were no concerns regarding personal belongings. During observations of the facility on March 23, 2023, April 4, 2023, and May 15, 2023, LPA observed residents with their own personal belongings. A finding that the complaint allegations of, Staff do not meet residents' incontinence needs and staff do not assist resident with grooming, Staff do not provide resident with bed linen and shower areas are not equipped with shower curtains, Staff do not properly monitor residents for change in condition, Staff do not supply residents with a Personal Item and (Report continued on LIC 9099C) Staff do not safeguard residents’ personal belongings 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 allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Administrator. Assistant Administrator was present during the tour of Memory Care Unit. Assistant Administrator summoned Housekeeping to the room to clean the room and ensure that the laundry is done (See LIC 9099D). Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. 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.