Complaint·December 5, 2022

Interviews with the Administrator confirmed that, due to emergency circumstances of another facility closing, the Administrator accepted three (3) residents the afternoon of 11/30/2022. Records review confirmed that there were seven (7) residents from 11/30/2022 – 12/02/2022. The Administrator alleged that one (1) out of seven (7) residents was supposed to move out on 11/30/2022, however, the resident in question moved out on 12/02/2022. Whereas at this time, there are currently six (6) residents residing at this facility, there is sufficient evidence to support the claim that the facility operated outside of its licensing terms and conditions from 11/30/2022 – 12/02/2022. This allegation is deemed Substantiated at this time. Regarding the allegation: Resident is not provided comfortable accommodations at the facility It was alleged that the facility failed to provide comfortable accommodations to the residents of this facility. During the physical plant tour, the LPA inspected the furniture and equipment used by the residents and observed it to be in operable condition. Interviews confirmed that the staff attempted to meet all specifications and accommodations of residents in the facility to the best of their ability. The Administrator confirmed that there was a former resident that requested an electric bed and whereas the Administrator thought they had the bed as specified by the resident, it did not fully meet the resident’s expectations. As a result, the resident purchased their own electric bed. There was also a concern raised as it alleged that the facility showers cannot accommodate residents with wheelchairs. The Administrator claimed that they had not had an issue with the residents showering in the facility and said that they were able to provide shower chairs and staff could assist those that required hands-on assistance with showering. Resident interviews confirmed that there was one resident that believed the bathrooms could not accommodate their needs as it did not allow their wheelchair to go in; whereas they were able to eventually shower, it was noted that the water appeared to be hot. The LPA observed that one (1) of three (3) restrooms required a lot of maneuvering if a resident wanted to take a shower with their wheelchair. However, a resident could be assisted to the shower chair in that bathroom if need be. The LPA observed that two (2) out of three (3) bathrooms would require a resident to be moved to a shower chair, or would require assistance for their wheelchair to be maneuvered into the shower. As such, the facility would be able to meet showering needs as requested. However during today’s visit, the LPA tested the water in the two (2) common hallway bathrooms. At 10:25 a.m., the LPA tested the water in the 1st common hallway bathroom, and the water measured at 125.7 degrees Fahrenheit. At 10:37a.m., the LPA tested the water in the 2nd common hallway bathroom and the water measured at 124.3 degrees Fahrenheit. Based on the information obtained in interviews and observations, the staff attempted to meet resident accommodations as required in the resident’s medical assessment, or at the request of the resident. However, the facility failed to provide comfortable accommodations for all residents, as the water temperature measured between 124.3 – 125.7 degrees Fahrenheit. This allegation is deemed Substantiated at this time. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D). Civil penalty assessed. Exit interview conducted, today's report and appeal rights were reviewed and issued. Signatures were obtained. Staff said they took claims of observing roaches or any pests seriously. Residents denied claims that they had seen any roaches or pests throughout the day. The LPA inspected the facility thoroughly, including the three (3) facility bathrooms, and did not observe any roaches or pests at the time of the visit. Based on the information obtained from interviews, there is insufficient evidence to support the claim that the staff are not addressing the roach infestation at the facility. At the mention of bugs being observed, the staff purchased bug spray and acted accordingly. Staff denied claims of seeing any roaches in the facility throughout the day and said that there wasn’t an apparent infestation. Based on the information obtained, this allegation is deemed Unsubstantiated at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.