complaint·March 10, 2022

Continued from 9099 It was alleged that Staff are not following residents prescribed dietary plan, More specifically, that staff failure to give resident their prescribed dietary plan resulted in resident R2's injury. LPA reviewed incident reports and Resident R2's Physician Report and dietary plan, which did not indicate that the facility did not follow their prescribed plan. In addition, during inspection on 8/19/21 LPA observed resident's dietary plan posted in the kitchen. There were also updated dietary plans printed and in view for dietary staff. Facility Coordinator, Jennifer Ramos, provided LPA with a complete list of all of the resident’s dietary plan. LPA toured the facility during mealtime and observed that resident’s R1, R2, R3 and R4 were given meals and drinks as prescribed within their dietary plan. Therefore, based upon the documents reviewed and statements taken, the allegation is unsubstantiated. It was alleged that Staff are not meeting residents hygiene needs - LPA toured the facility and made observations. Residents appeared to have proper hygiene. LPA reviewed training records finding that staff were trained in personal care and personal rights. Daily routines, including shower schedules were documented. Staff were assisting residents who were observed to be unclean. Therefore, based upon the documents reviewed and statements taken, the allegation is unsubstantiated. It was alleged that Staff are not meeting residents incontinence care needs. LPA toured the facility, interviewed staff, and reviewed records and did not find sufficient information proving that the residents incontinence care needs aren't being met. Therefore based upon observation and record review this allegation is unsubstantiated. Continued on 9099 C Continued from 9099 C It was alleged that, Neglect and lack of supervision resulted in resident R6 in falling . LPA reviewed resident R6's Physician report (LIC 602), Needs and Service Plan and incident reports, Emails, gathered Statements from reporting parties and staff. Based on the statements and records reviewed, LPA learned that when resident R6 became an increased fall risk, the facility Administrator, conducted an assessment. It is also documented that Based on the assessment the facility made suggestions to the responsible party and requested an additional assessment from the physician. In addition, the facility increased checks for R6 and offered increased stand by assistance. Therefore based upon statements, record review and observation the allegation is unsubstantiated. 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 allegation is Unsubstantiated. Staff are not distributing medications as prescribed - During facility inspection on 8/19/21, LPA Walters conducted an audit of two of the facility medications carts, reviewed 5 resident’s Medication Assistance Records (MARs) and centrally stored logs. LPA learned that both resident R1 and R2 were not given their medication as prescribed by their physician. (pictures taken) Based on observations, interviews and record review the allegation that staff are not distributing medication as prescribed is substantiated. Therefore a finding that Staff are not distributing medications as prescribed , 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. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.