Complaint Investigation Report

Facility does not provide activity program to address the needs of residents with dementia.

Interview with staff revealed there's no activities that address the needs of residents with dementia.

Facility is using a resident's bedroom as passageway to the bathroom.

Interview with staff indicated that both bathrooms are used by everyone. LPA observed facility has a hallway bathroom and a bathroom in R1's room. Interview with resident revealed that R2 have used the bathroom inside R1's room.

Interview with staff revealed that facility did not have a sample menu for the facility.

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED . California Code of Regulations, Title 22, are being cited on the attached LIC 9099D.

Exit interview conducted. A copy of this report and appeal rights provided.