complaint·December 6, 2023

R1 had a catheter that theyhad issues with, and the Physician discontinued the need for R1 to have the catheter, per interviews with S1 & S2. R1 was receiving in-home health services at the time. It is unknown per investigation, if there was any other time resident had catheter issues. Meals were observed by the LPA to be served at scheduled meal/ food service times per facility plan during LPA inspections; It is unknown if there are other times that meals are not being provided timely to residents in care. There was differing information obtained regarding allegations from what was reported to the Department. No information obtained to support that the violations occurred. Based on the interviews with staff, and other related parties, record/document reviews, and information obtained during the investigation, the allegations, "Staff did not seek medical attention for the resident, Staff does not keep care records and/or medical records on resident(s), Staff are not providing incontinent care in a timely manner, and leaving residents in soiled diapers, Staff do not meet residents’ hygiene needs in a timely manner, Staff not providing residents with meal(s) in a timely manner " are Unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies cited. Exit interview was conducted with the Administrator Eric Perry. Based on LPA interviews, review of records, and information LPA obtained, the investigation has revealed that the allegation of "staff mismanaged resident’s medication." has been substantiated. Due to the substantiation of the allegation, a citation, will be cited today, 87465(a)(4) Incidental Medical and Dental Care, the licensee shall assist residents with self-administered medications as needed, see LIC9099D. Second/repeat citation within twelve (12) months, a civil penalty (CP) is assessed in the amount of $250 today, see LIC421FC. The 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: Exit interview conducted with the Administrator. Appeal rights provided.