Inspector’s narrative
What the inspector wrote
The Administrator stated to the LPA that they will immediately start addressing the problem of the ceiling and wall having a moisture/water problem. The LPA did not observe any leaking water on the ceiling or the wall but did observe the mold and ceiling paint showing color change, spotting, water damage/moisture issues. The RCC had staff come in and start cleaning the wall in resident's(R1's ) room to disinfect and clean the mold.
Based on LPA observations, interviews, and review of records, the investigation has revealed that the allegation of
"Facility is in disrepair
" has been substantiated.
LPA observing a moisture problem/water damage on the ceiling in R1's room, including observation of mold growing on the resident's wall under album covers that were hanging. LPA obtained photos. Due to the substantiation of the allegation, a deficiency will be cited today, Maintenance and Operation 87303(a) The facility shall be clean, safe, sanitary, and in good repair at all times; Maintenance shall include provision of maintenance services and procedures for safety and well-being of residents, and others, see LIC9099D.
T
he preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited.
Failure to correct deficiencies by due dates, may result in additional deficiency citations and/or civil penalties being assessed.
Exit interview conducted with the Administrator David Hanna.
Appeal Rights Given.
Per investigation, it was revealed that no residents had bed bugs and/or lice in the facility. Per investigation, LPA found that residents' who were assessed to have scabies and/or had symptoms were by staff, by a medical professional, and treatment was provided per Doctor's orders.
Per interviews, staff, six (6) out of six(6), deny that they hit and/or yell at the residents in care; Staff stated to the LPA that they have not observed another staff hit and/or yell at residents of the facility. The LPA discussed with facility staff, personal rights of residents in care, and ensuring residents rights are not violated.
Per interviews and record reviews, it was revealed that residents have shower schedules, and are also showered as needed due to an emergency and/or if an accident happens. If a resident doesn't take their showers at the scheduled time due to saying no and/or for any other reason, the shower can be provided as soon as possible that day or the next day. Residents may shower as often as needed but if needing assistance with bathing staff will fit the resident in as soon as possible, that day and/or the next day due to the shower schedule. Some residents shower once a week and others a few times a week, and as often as needed.
The LPA conducted interviews with staff(5) and other interested parties. Per investigation, it was revealed that the facility had a sufficient supply of food to provide meals to residents. The food supply contains meats, vegetables, fruits, and grains, that need to be cooked for resident meals. There was also eggs, cheese, cereals, fruits, drinks, and milk for resident meals.
Per investigation and interviews with staff, S 1 and S2, all resident mail is provided to residents. The LPA discussed resident's personal rights with staff, S1 and S2, and this includes the right to resident's having their personal mail provided to them, unopened.
Staff S1 and S2 stated their understanding of the above regarding a resident's personal mail, and resident's right to it.
Continued on LIC9099C...
Per review of resident records(R1), interviews with staff, and other interested parties, it was revealed that all medications, and over the counter medications and supplements provided to the resident, are prescribed by the Physician. There are no medications allowed to be retained on-site and/or provided to the resident without a Physician's order. The LPA discussed Incidental Medical and Dental Care regulations with all parties, discussing the requirement of having a Physician's Order for all medications, and over the counter medications, including supplements. Without the Physician's order a facility staff can't have the medication and provide it to a resident/residents. Per review of records all medications prescribed are provided per Doctor's Orders to resident(R1).
Based on LPA's investigation, record reviews, and interviews with staff, and information obtained during interviews with other related parties, there was no information obtained to support that a violation occurred, the allegations of "
Staff refuse to treat resident's scabies condition, Staff hits resident in care, Staff yell at resident in care, Residents in care are not assisted with their showers, Residents are not provided proper food service, Staff withholds resident's mail, Staff do not provide proper medication assistance to resident in care' are unsubstantiated.
Based on observations, record reviews, and interviews with staff and other parties, there is insufficient information to support that violations occurred.
Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated.
N
o deficiencies cited.
Exit interview conducted with Licensee/Administrator David Hanna.
