Complaint·March 9, 2023

The resident(R1) records has no medical documentation that supports medical needs or care needs were not being met or hadn't been met by the facility. LPA was not provided any other medical documentation that supports this allegation of medical needs not having been met. The resident was seen twice in the ER due to catheter issues, on 1/8/23 and 1/10/23, there are no medical records supporting any neglect of the catheter or care of catheter and/or the neglect of residents incontinent care needs. No medical documentation or supportive documentation of residents needs being neglected resulting in a rash. Per review of resident records the residents medications were logged on a centrally stored medication record as required, it is not known when this was done previously. Per interviews of staff and other interested parties, there was no information provided to support a violation of residents rights, residents being spoken to and/or being treated inappropriately by staff. Per tour of the resident's room it was found to be vacant, and looked as if someone had moved out with a few items here and there but the room was not found to be dirty during today's visit. Based on the records reviewed, conducted interviews, and LPA's observations, there is no evidence to support the allegations, "Food Service is not adequate, Resident's incontinent care was not provided as needed, Staff failed to meet resident's medical needs, Neglect/Lack of supervision resulted in resident sustaining a rash, Staff violated residents personal rights, Staff failed to keep the resident's room clean, The investigation revealed that there is differing information regarding the allegations are Unsubstantiated. After the Departments review of records, observations, and interviews, the allegation is 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. No deficiencies cited/No violations. Exit interview was conducted with the Caregiver Alice Wanjirn. LPA had obtained information from interviews which supported the violation that staff are not wearing masks as required for facility staff. This deficiency will be cited, Personal Rights 87468.1(a)(2), regarding not being in compliance with the required mask mandate-see LIC9099D., LPA had observed that medications were pre-poured in advance which is a violation to regulation. Medications must be retained in their original containers. Medication would be taken from medication bottles at the time they are assisting residents with the medication. S1 stated that she has been providing medication assistance by giving the medication from the plastic containers containing the pre-poured medications.. This deficiency will be cited, Incidental Medical and Dental Care 87465(h)(5)-see LIC9099D. Based on LPA's interviews, review of records, and information LPA obtained, the investigation has revealed that the allegations of " Staff don't wear masks as required and Medications are not handled appropriately" has been substantiated. 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), are being cited. Failure to correct deficiencies by POC dates, may result in additional citations, and civil penalties being assessed, including deficiencies re-cited within 12 months. Exit interview conducted with Caregiver Alice Wanjirn. Appeal Rights Given.