Other·April 4, 2018

F000 INITIAL COMMENTS

F000 PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETE DATE The following reflects the findings of the Department of Public Health during the investigation of a Complaint during an Abbreviated Survey. Complaint number: CA00563635 Substantiated Representing the Department of Public Health: Health Facilities Evaluator Nurse ID: 37393 The inspection was limited to the specific complaint investigation and does not represent the findings of a full inspection of the facility. Two deficiencies were issued for Complaint CA00563635

F609 SS=D Reporting of Alleged Violations CFR(s): 483.12(c)(1)(4)

F609 03/15/2018 §483.12(c) In response to allegations of abuse, neglect, exploitation, or mistreatment, the facility must: §483.12(c)(1) Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients . (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. FORM CMS-2567(02-99) Previous Versions Obsolete Event ID: R4RI11 Facility ID: CA940000097 If continuation sheet 1 of 10 PRINTED: 05/14/2026 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION OMB NO. 0938-0391 (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X1) MULTIPLE CONSTRUCTION A. BUILDING: ___________ B. WING: _______________ 055123 (X3) DATE SURVEY COMPLETED 03/05/2018 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE BEACHSIDE POST ACUTE 3294 Santa Fe Ave Long Beach, CA 90810 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETE DATE result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures. §483.12(c)(4) Report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident, and if the alleged violation is verified appropriate corrective action must be taken. This REQUIREMENT is not met as evidenced by: Based on interview and record review, the facility failed to follow its policy and procedure in reporting unusual occurrences to the Department of Public Health Services (DPH) within 24 hours in accordance with the State Regulations for one of three sampled residents (Resident 1). Resident 1 eloped (to flee or to run away secretly) unsupervised from the facility and went missing and was found in the streets after sustaining multiple facial injuries (crossed reference to F689). This deficient practice resulted in the facility not adhering to its policy and had the potential to put other residents at risk for safety. Findings: On 12/20/17 at 8:24 a.m., during a telephone interview, the complainant stated, "The resident (Resident 1) was found in the community after a fall, with a lacerated lip and abrasion to the FORM CMS-2567(02-99) Previous Versions Obsolete Event ID: R4RI11 Facility ID: CA940000097 If continuation sheet 2 of 10 PRINTED: 05/14/2026 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION OMB NO. 0938-0391 (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X1) MULTIPLE CONSTRUCTION A. BUILDING: ___________ B. WING: _______________ 055123 (X3) DATE SURVEY COMPLETED 03/05/2018 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE BEACHSIDE POST ACUTE 3294 Santa Fe Ave Long Beach, CA 90810 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETE DATE right eye. The facility did not have the correct telephone number for the resident's family members to inform them that the resident went missing." A review of Resident 1's Admission Face Sheet indicated the resident was admitted to the facility on 11/28/17. Resident 1's diagnoses included impaired fasting glucose (condition in which blood sugar is high, but not high enough to be classified as type II diabetes) and vascular dementia (brain damage caused by multiple strokes [occur when the blood supply to the brain becomes blocked]). A review of Resident 1's Nursing Admission Assessment, dated 11/28/17, and timed at 4:30 p.m., written by Registered Nurse 1 (RN 1) indicated Resident 1 was disoriented (confused) to person, place, date and time. The Assessment also indicated Resident 1 had an unsteady gait (walking) and was a fall risk, as well as a risk for elopement. A review of Resident 1's elopement risk assessment indicated a score of 12. According to the assessment a total score of 10 or greater was considered a high risk for elopement and the prevention protocols should be documented on the resident's care plan. There was no plan of care to address Resident 1's elopement risk. On 12/20/17 at 10:27 a.m., during an interview, Certified Nurse Assistant 1 (CNA 1) stated, "The resident (Resident 1) would wonder around the facility pushing his wheelchair looking for his family member. The day he went missing I placed him in the dining room for breakfast." FORM CMS-2567(02-99) Previous Versions Obsolete Event ID: R4RI11 Facility ID: CA940000097 If continuation sheet 3 of 10 PRINTED: 05/14/2026 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION OMB NO. 0938-0391 (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X1) MULTIPLE CONSTRUCTION A. BUILDING: ___________ B. WING: _______________ 055123 (X3) DATE SURVEY COMPLETED 03/05/2018 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE BEACHSIDE POST ACUTE 3294 Santa Fe Ave Long Beach, CA 90810 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETE DATE A review of Licensed Vocational Nurse 2 (LVN 2) nursing note, dated 12/2/17 and timed at 9:30 a.m., indicated during medication pass, resident (Resident 1) was nowhere to be found. The note indicated the facility's staff searched for the resident all around building and the vicinities outside. A review of a subsequent nursing note, written by LVN 2, dated 12/2/17 and timed at 9:55 a.m., indicated she received a call from the local Fire Department stating that they found Resident 1 at 9:45 a.m. on the same day (12/2/17) on neighboring streets. According to the note, Resident 1 sustained a facial abrasion on the right eye and cut on the lip from fall. On 12/20/17 at 12:04 p.m., during an interview, the director of medical records (DRM) was asked if they had notified Resident 1's family when he went missing. The DRM stated, "I looked for the emergency contact information for the resident (Resident 1), but the number listed was an incorrect number. The DRM stated someone from admissions was supposed to verify the telephone number." A review of the GACH's emergency room (ER) note, dated 12/2/17 and timed at 10:42 a.m., indicated the resident (Resident 1) was brought after a trauma team was activated due to the resident being found down in the streets after a mechanical trip and fall. The ER note indicated the resident left the skilled nursing facility (SNF) and was confused X 4 (person, place, time and situation) and very combative (ready or eager to fight). The resident sustained a right hematoma (a localized collection of blood outside the blood vessels) and lower lip FORM CMS-2567(02-99) Previous Versions Obsolete Event ID: R4RI11 Facility ID: CA940000097 If continuation sheet 4 of 10 PRINTED: 05/14/2026 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION OMB NO. 0938-0391 (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X1) MULTIPLE CONSTRUCTION A. BUILDING: ___________ B. WING: _______________ 055123 (X3) DATE SURVEY COMPLETED 03/05/2018 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE BEACHSIDE POST ACUTE 3294 Santa Fe Ave Long Beach, CA 90810 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETE DATE laceration. Resident 1 was admitted to the GACH's telemetry unit (electronically monitoring of heart rhythms and rate for 24 hours) for 10 days due to irregular cardiac rhythm. Resident 1 was discharged on 12/12/17 to another SNF, per the family. On 12/26/17 at 10:20 a.m., during an interview, the director of nursing (DON) stated, "The incident happened on a weekend day, I was informed by the charge nurse and the resident was found by the police. We did not notify the Department of Health because the resident was found." On 12/26/17 at 10:36 a.m., during an interview, in the presence of the DON, the administrator stated, "I did not know that we were supposed to notify the Department of Public Health about a missing resident." A review of the facility's incident/investigation report, dated 12/2/17, and signed by the facility's director of Nursing (DON) on 12/4/17, indicated the DPH was not notified of Resident 1 eloping. A review of the facility's policy titled, "Missing resident," revised in May 2016, indicated at the time the resident was located, the following steps will be taken: document the notification of the physician, the responsible party, as well as the State agency and police if applicable.

F689 SS=G Free of Accident Hazards/Supervision/Devices F689 CFR(s): 483.25(d)(1)(2) 03/15/2018 §483.25(d) Accidents. The facility must ensure that §483.25(d)(1) The resident environment FORM CMS-2567(02-99) Previous Versions Obsolete Event ID: R4RI11 Facility ID: CA940000097 If continuation sheet 5 of 10 PRINTED: 05/14/2026 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION OMB NO. 0938-0391 (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X1) MULTIPLE CONSTRUCTION A. BUILDING: ___________ B. WING: _______________ 055123 (X3) DATE SURVEY COMPLETED 03/05/2018 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE BEACHSIDE POST ACUTE 3294 Santa Fe Ave Long Beach, CA 90810 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETE DATE remains as free of accident hazards as is possible; and §483.25(d)(2)Each resident receives adequate supervision and assistance devices to prevent accidents. This REQUIREMENT is not met as evidenced by: Based on observation, interview, and record review, the facility's staff failed to provide adequate supervision for one of three sampled residents (Resident 1). Resident 1, a newly admitted resident, who had a high risk for elopement (to flee or to run away secretly) and falls and was confused eloped from the facility unsupervised and was later found by the local Fire/Police Department, in the streets. Resident 1 fell sustaining facial injuries (Crossed referenced to F609). This deficient practice of the facility not providing Resident 1 adequate supervision, resulted in the resident leaving the facility sustaining a laceration (a deep cut or tear in skin or flesh) to the lip and an abrasion (an area damaged by scraping or wearing away: superficial) to the right eye after a fall. Resident 1 was admitted to the general acute care hospital (GACH) for 10 days. Findings: On 12/20/17 at 8:24 a.m., during a telephone interview, the complainant stated, "The resident (Resident 1) was found in the community after a fall, with a lacerated lip and abrasion to the right eye. The facility did not have the correct telephone number for the resident's family members to inform them that the resident went missing." FORM CMS-2567(02-99) Previous Versions Obsolete Event ID: R4RI11 Facility ID: CA940000097 If continuation sheet 6 of 10 PRINTED: 05/14/2026 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION OMB NO. 0938-0391 (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X1) MULTIPLE CONSTRUCTION A. BUILDING: ___________ B. WING: _______________ 055123 (X3) DATE SURVEY COMPLETED 03/05/2018 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE BEACHSIDE POST ACUTE 3294 Santa Fe Ave Long Beach, CA 90810 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETE DATE At 8:44 a.m., on 12/20/17, during a general tour of the facility in the presence of Licensed Vocational Nurse 1 (LVN 1) the back gate, leading to an alley way was observed open. LVN 1 verified that the gate was opened and stated, "The gate should not be opened and the door doesn't have an alarm, and sometimes its left opened." A review of Resident 1's Admission Face Sheet indicated the resident was admitted to the facility on 11/28/17. Resident 1's diagnoses included impaired fasting glucose (condition in which blood sugar is high, but not high enough to be classified as type II diabetes) and vascular dementia (brain damage caused by multiple strokes [occur when the blood supply to the brain becomes blocked]). A review of Resident 1's Nursing Admission Assessment, dated 11/28/17, and timed at 4:30 p.m., written by Registered Nurse 1 (RN 1) indicated Resident 1 was disoriented (confused) to person, place, date and time. The Assessment also indicated Resident 1 had an unsteady gait (walking) and was a fall risk, as well as a risk for elopement. A review of Resident 1's elopement risk assessment indicated a score of 12. According to the assessment a total score of 10 or greater was considered a high risk for elopement and the prevention protocols should be documented on the resident's care plan. There was no plan of care to address Resident 1's elopement risk. A review of Resident 1's care plan titled, "Risk FORM CMS-2567(02-99) Previous Versions Obsolete Event ID: R4RI11 Facility ID: CA940000097 If continuation sheet 7 of 10 PRINTED: 05/14/2026 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION OMB NO. 0938-0391 (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X1) MULTIPLE CONSTRUCTION A. BUILDING: ___________ B. WING: _______________ 055123 (X3) DATE SURVEY COMPLETED 03/05/2018 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE BEACHSIDE POST ACUTE 3294 Santa Fe Ave Long Beach, CA 90810 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETE DATE for falls," initiated on 11/28/17, identified a problem with falls due to resident 1's poor safety awareness. The goal indicated that the resident would not have any fall incidents. The care plan did not have any staff interventions documented. On 12/20/17 at 10:27 a.m., during an interview, Certified Nurse Assistant 1 (CNA 1) stated, "The resident (Resident 1) would wander around the facility pushing his wheelchair looking for his family member. The day he went missing I placed him in the dining room for breakfast." A review of a hand written declaration, written by CNA 1, indicated on 12/2/17 at 8:35 a.m., the resident was last seen in the hallway wandering confused looking for his family member. The declaration indicated the charge nurse notified CNA1 that Resident 1 was missing, and was found later by the police. On 12/20/17 at 11:43 a.m., during an interview, RN 1 stated, "I assessed the resident during admission and he was very confused. His wife was here during the admission process. I completed the resident's elopement risk form, but I did not initiate a care plan for elopement." A review of Licensed Vocational Nurse 2 (LVN 2) nursing note, dated 12/2/17 and timed at 9:30 a.m., indicated during medication pass, resident (Resident 1) was nowhere to be found. The note indicated the facility's staff searched for the resident all around building and the vicinities outside. A review of a subsequent nursing note, written by LVN 2, dated 12/2/17 and timed at 9:55 FORM CMS-2567(02-99) Previous Versions Obsolete Event ID: R4RI11 Facility ID: CA940000097 If continuation sheet 8 of 10 PRINTED: 05/14/2026 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION OMB NO. 0938-0391 (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X1) MULTIPLE CONSTRUCTION A. BUILDING: ___________ B. WING: _______________ 055123 (X3) DATE SURVEY COMPLETED 03/05/2018 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE BEACHSIDE POST ACUTE 3294 Santa Fe Ave Long Beach, CA 90810 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETE DATE a.m., indicated she received a call from the local Fire Department stating that they found Resident 1 at 9:45 a.m. on the same day (12/2/17) on neighboring streets. According to the note, Resident 1 sustained a facial abrasion on the right eye and cut on the lip from fall. On 12/20/17 at 12:04 p.m., during an interview, the Director of Medical Records (DRM) was asked if they had notified Resident 1's family when he went missing. The DRM stated, "I looked for the emergency contact information for the resident (Resident 1), but the number listed was an incorrect number. The DRM stated someone from admissions was supposed to verify the telephone number." A review of the GACH's emergency room (ER) note, dated 12/2/17 and timed at 10:42 a.m., indicated the resident (Resident 1) was brought after a trauma team was activated due to the resident being found down in the streets after a mechanical trip and fall. The ER note indicated the resident left the skilled nursing facility (SNF) and was confused X 4 (person, place, time and situation) and very combative (ready or eager to fight). The resident sustained a right hematoma (a localized collection of blood outside the blood vessels) and lower lip laceration. Resident 1 was admitted to the GACH's telemetry unit (electronically monitoring of heart rhythms and rate for 24 hours) for 10 days due to irregular cardiac rhythm. Resident 1 was discharged on 12/12/17 to another SNF, per the family. On 12/26/17 at 10:20 a.m., during an interview, the director of nursing (DON) stated, "The incident happened on a weekend day, I was informed by the charge nurse and the resident FORM CMS-2567(02-99) Previous Versions Obsolete Event ID: R4RI11 Facility ID: CA940000097 If continuation sheet 9 of 10 PRINTED: 05/14/2026 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION OMB NO. 0938-0391 (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X1) MULTIPLE CONSTRUCTION A. BUILDING: ___________ B. WING: _______________ 055123 (X3) DATE SURVEY COMPLETED 03/05/2018 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE BEACHSIDE POST ACUTE 3294 Santa Fe Ave Long Beach, CA 90810 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETE DATE was found by the police. We did not notify the Department of Health because the resident was found." On 12/26/17 at 10:36 a.m., during an interview, in the presence of the DON, the administrator stated, "I did not know that we were supposed to notify the Department of Public Health about a missing resident." On 12/26/17 at 11:02 a.m., during a telephone interview, Resident 1's family member (FM1) stated, "I received a call late from the facility and they told me about him being found on the street, I was upset because they should have called when they realized he was missing. The nurse who called blamed him for leaving, instead of taking the responsibility for not supervising him. He has dementia, and they never called the resident's responsible party. The family did not want him (Resident 1) readmitted back to the facility, because they did supervise him and keep him safe." A review of a policy titled, "Missing resident" revised in May 2016, indicated at the time the resident was located, the following steps will be taken, document notification of physician and responsible party as well as State agency and police if applicable. FORM CMS-2567(02-99) Previous Versions Obsolete Event ID: R4RI11 Facility ID: CA940000097 If continuation sheet 10 of 10