complaint·November 5, 2024

RCC had the staff filling the paper towel dispensers. Administrator stated that the dispensers that were not operational would be repaired and/or replaced. Administrator stated that all bathrooms would have a supply of paper towels for residents use at all times. Per LPA's observations and interviews with staff, there is sufficient information obtained to support a violation did occur, the allegation of "facility is not providing hygiene items/paper towels for residents use" is Substantiated. This deficiency will be cited, 87307(a)(3) Personal Accommodations and Services- The following provisions shall apply: Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident, the licensee shall assure provision of: Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The use of common wash cloths and towels shall be prohibited, see LIC9099D. LPA observed R1 in the facility, reviewed R1's records, and obtained information from interviewed staff and other related parties. Per investigation, R1 has a seat belt attached to their wheelchair that is used to keep resident in their chair; LPA observed that the seat belt goes straight across as a regular seat belt, which is not providing any postural support for the resident. Per interview with S2, the seat belt helps R1 from standing up and down when agitated, and from possible falls when leaning forward; S2 stated it keeps the resident in their chair. R1 is not able to unbuckle the seat belt on their own. LPA discussed personal rights of the resident/residents per regulation, and ensuring sufficient staff as needed. Administrator and S2 stated their understanding of the regulation. A clip alarm or similar item will be used and R1's care plan will be updated, per Administrator. Per LPA's observations and interviews with staff, there is sufficient information obtained to support a violation did occur, the allegation of "violation of resident's personal rights" is Substantiated. This deficiency will be cited, 87468.2(a)(4)Additional Personal Rights of Residents in Privately Operated Facilities-In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs, see LIC9099D. The preponderance of evidence standard has been met, therefore the allegations are 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 Resident Care Coordinator, Karrie Hanna. Appeal Rights provided.