complaint·June 2, 2023

and observed o n page 4 & 5 of the Program Plan of Operation/Program Philosophy it indicates the following, "All medication assistance will be documented with the medication name, time, date and dosage taken by the resident, or documentation that the resident did not take the medication according to the prescription. All documentation will be accompanied by a signature of the trained staff member that has passed the medication. This will include any type of medication pass." (See LIC 809D and Document Review- Program Plan of Operation/Program Philosophy ) 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 by the Med Tech/Receptionist, Juliana Sanchez and emailed to the Administrator due to printer issues. Complaint alleges that Staff has not address scabies outbreak in facility. Based on the interviews that were conducted with the facility and an outside agency, LPA learned that the facility reported the Scabies outbreak via facsimile to the appropriate Public Health Entity. Furthermore, LPA received proof that the facility reported to their respective Public Health Entity. An incident report was forwarded to Santa Rosa Regional Office on April 3, 2023 indicating that the facility had an outbreak of scabies and that the facility was following their Infection Control Plan. Complaint alleges that Staff are not meeting resident care needs. Based on interviews that were conducted with residents in care and a witness, LPA could not prove or disprove the allegation due to inconsistent statements made during the course of the investigation. Complaint alleges that Staff does not ensure resident's room is sanitary and clean. During the opening of the complaint on April 27, 2023 and during a subsequent complaint investigation inspection conducted on May 16, 2023, LPA toured the facility on both dates and observed the facility to be appropriately cleaned and at a comfortable temperature with all exits free from obstruction. LPA observed the facility to be smelling appropriate and observed ALL resident bathrooms. Resident bathrooms observed to be appropriate during the inspection. Resident rooms observed to be appropriate and smelling good during the course of the investigation. Complaint alleges that staff does not ensure resident's medications are properly stored. During the opening of the complaint on April 27, 2023, LPA observed the medication cart was locked and secured. During a subsequent complaint investigation inspection conducted on May 16, 2023, LPA observed medication cart being locked and secured at the time of the subsequent complaint investigation inspection A finding that the complaint allegations of Resident sustained a pressure injury while in care. Staff has not address scabies outbreak in facility. Staff are not meeting resident care needs Staff does not ensure resident's room is sanitary and clean. Staff does not ensure resident's medications are properly stored 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 allegations are UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed by the Med Tech/Receptionist, Juliana Sanchez, and emailed to the Administrator due to printer issues.