complaint·April 30, 2021

Regarding the allegation: Residents are not served a variety of foods It was alleged that the food served at the facility was limited to cold foods. During today's visit, the LPAs reviewed the supply of perishable and nonperishable food and found it to be adequate and of substantial variety. The LPAs observed a variety of meats, fruits, vegetables, grains, and liquids. Interviews revealed that if a resident does not like a meal, they are offered a different option. In general, interviews revealed minimal complaints as it pertains to the variety of food served. During today's visit, the LPAs observed that all special diets were being upheld, and the food offered during the lunchtime service was hot. It appeared that the facility had a variety of both hot and cold meal options. Based on the information obtained, there is insufficient evidence to support t he claim that the residents are not served a variety of food. This allegation is deemed Unsubstantiated at this time. Regarding the allegation: Staff yell in the presence of residents. It was alleged that the staff yell at each other 'very loudly'. During today's visit, the LPAs observed the staff interacting with both the residents and one another in an appropriate tone. Interviews with the responsible parties of the residents whom reside in this facility revealed no concerns or complaints in regards to staff conduct, communication or interaction. Interviews with staff revealed that if staff were too loud, they are reminded to lower their voices, especially if residents are sleeping. Yet, interviews did n ot reveal concerns or complaints regarding staff yelling or speaking to one another in an elevated tone. Based on the information obtained, there is insufficient evidence to support the claim that staff yell in the presence of residents. This allegation is deemed Unsubstantiated at this time. No deficiencies cited. Exit interview conducted. Signatures obtained. A copy of the report was emailed. Regarding the allegation: Resident's are not bathed at an appropriate time. It was alleged that residents are given showers at 4 a.m. Interviews with staff corroborated the claim that the residents are showered beginning at 4am, and the residents are used to being showered at that time. Staff claimed that this has been the schedule for quite some time. Staff confirmed that there have been occasions where residents have refused to be showered at 4am; thus, they would assist with the shower at a later time. Interviews with the responsible parties of the residents whom currently reside in this facility revealed varied responses as it relates to the bathing schedule. Not all individuals were aware that the residents were being showered at that time and noted that it was not an appropriate time. However, for those that were aware, they stated that it was the showering schedule and communicated no concerns. Based on the investigation, there is sufficient evidence to support the claim that residents are not bathed at an appropriate times. The residents whom currently reside at this facility have a diagnosis of dementia; thus, they are unable to adequately communicate their preference as to when they would receive a shower. For those whom were alert, those residents are able to communicate their preference as to when they would like to be showered. Thus, all residents should be afforded a reasonable time frame in which they are showered. This allegation is Substantiated at this time. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency is cited: (Refer to LIC 9099-D). Exit interview conducted. Signatures obtained. A copy of the report was emailed.