complaint·March 3, 2023

On 2/26/23 LPA Campos met with Memory Care Director Sheila Ramirez at approximately 9:50 a.m., obtained pertinent documents, interviewed staff at 12:30 p.m., 12:58 p.m., 1:18 p.m. and 1:35 p.m., 2:20 p.m. and 3:27 p.m. interviewed residents at 11:15 a.m., 11:23 a.m., 11:27 a.m. and 3:16 p.m. Findings were delivered during today's visit. Regarding the allegation: Staff are not meeting residents’ incontinence needs It was alleged that staff will not help residents with going to the bathroom and yell at them for asking for help and as a result would be left in soiled diapers. Interviews with Staff #1 (S1) and Staff #2 (S2) denied claims that residents are yelled at or turned away from being helped with toileting. Interviews with facility staff confirmed residents are checked regularly approximately every two (2) hours to ensure that they are changed in a timely manner. Additional staff interviews denied claims that staff yell or fail to meet resident incontinence needs. Resident interviews revealed that some carry pendants in which the facility has failed to answer timely resulting in the residents to have to wait up to an hour or call the front desk for assistance. Staff interviews confirmed that memory care residents have called the front desk for assistance. A record review confirmed that pendants were not being answered timely. Additionally, the LPA observed Resident #2 (R2’s) room to have a heavy smell of urine upon entry and throughout the room. Interviews reveled that R2 is often soiling themselves or has accidents throughout the room as too why there is a heavy smell. The facility did not provide evidence that there are additional room cleanings scheduled for R2 based on R2’s inability to contain their urine and therefore not meeting R2’s incontinence needs. Based on the information obtained, there is sufficient evidence to support the claim that staff are not meeting residents’ incontinence needs. This allegation is deemed Substantiated at this time. Pursuant to Title 22, California Code of Regulations, the following deficiency is cited (refer to LIC 9099-D). Exit interview conducted, appeal rights discussed, and a copy of this report issued. On 2/26/23 LPA Campos met with Memory Care Director Sheila Ramirez at approximately 9:50 a.m., obtained pertinent documents, interviewed staff at 12:30 p.m., 12:58 p.m., 1:18 p.m. and 1:35 p.m., 2:20 p.m. and 3:27 p.m. interviewed residents at 11:15 a.m., 11:23 a.m., 11:27 a.m. and 3:16 p.m. Findings were delivered during today's visit. Regarding the allegation: Staff are not showering residents The complainant alleged that residents were not receiving showers and go a week without getting one. During the LPA’s visits, the LPA observed residents for general cleanliness and did not observe residents to be unclean or unkempt. Interviews with residents revealed that residents were being showered twice a week on time, their needs were being met and did not communicate concerns regarding showers. Staff interviews revealed that residents are scheduled to be showered two (2) times a week. The LPA reviewed documents pertaining to showers and confirmed that all residents are on a consistent shower schedule. Based on the information obtained, there is insufficient evidence to support the claim that residents’ overall care needs are not being met. This allegation is deemed Unsubstantiated at this time. **Continued on LIC-9099A**