complaint·August 28, 2023

Based on interviews that were conducted, LPA could not prove or disprove the allegation. In addition, LPA learned of no concerns during resident interviews. On August 15, 2023, LPA toured the facility and found that the Medication Room was locked and secured. Complaint alleges that Facility is not adequately staffed to meet the needs of residents in care. During the tour on August 15, 2023, LPA observed sufficient staff that met the resident needs. In addition, LPA observed a resident being attended to. LPA reviewed the employee roster which was found to be appropriate. However, during the review of the Call Bell Logs for the dates of June 15, 2023 through July 3, 2023, LPA observed that residents had to wait for a prolonged periods of time in excess of 30+ minutes to receive assistance (See LIC 809-Case Management-Deficiencies dated for August 28, 2023). LPA educated the Administrator on the importance of answering Call Bells in a timely manner. Complaint alleges Facility is not meeting resident's oral hygiene needs. Based on interviews that were conducted, LPA could not prove or disprove the allegation. Furthermore, during interviewing, LPA received inconsistent statements regarding the allegation. A finding that the complaint allegations of Facility is allowing unauthorized staff to provide care and supervision to residents, Medications are accessible to residents in care, Facility is not adequately staffed to meet the needs of residents in care and Facility is not meeting resident's oral hygiene needs are unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Administrator. The following deficiencies were observed (See LIC 9099D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with the Administrator and appeal rights were provided.