complaint·July 24, 2023

"AMENDED" This is an amended version of the original report created on July 24, 2023 Continued from LIC9099 refused assistance. Some staff were unaware that resident wore a hearing aide. Based on document review, facility was requested in writing on December 7, 2022 to add teeth brushing and assistance with hearing aides to the resident's care plan. Per review of resident's care plan, these items were not added. Based on interviews with staff, they were not assisting resident with these items. Evidence obtained during investigation could not determine if facility failed to meet the resident's care needs regarding the UTI or rash. Based on LPA observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D. 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. Continued from LIC9099A Staff did not ensure resident had access to room – Complaint alleges that resident’s door locks automatically and resident was not given a key for three weeks after returning from the hospital resulting in resident having to request access to their room from a staff. Resident didn’t want to leave their room because they were concerned they would not be able to get back in. Staff interviews indicated that residents are given a key when they move in but the keys are frequently misplaced. Facility has multiple keys for the same room in case keys are lost. Care staff have a master key and can open any room for a resident. Interview with staff disputes the three week period as alleged and indicates that resident was given a key when it was brought to staff's attention. Staff denies key being taken from the resident when they left for the hospital, as alleged. Staff did not provide resident with laundry service – Complaint alleges that resident’s responsible party did resident’s laundry because it was not being done by staff and items were missing. Per staff interview, resident personal laundry is done once per week and laundry is done individually to decrease the possibility of items going missing, adding that there were a lot of "lost and found" clothes due to the items not being marked. Family may do laundry if they prefer. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated