Complaint Investigation Report

Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced 10-day visit on 01/11/2023 approximately around 10:00 AM. LPA Calderon initiated an investigation for the above-mentioned allegation and conducted a face-to-face interview with Administrator (S1). On 01/10/2023 LPA Calderon interviewed W1 for complaint. On 01/11/2023 LPA Calderon requested copies of the following: Staff and Resident rosters, Maintenance/cleaning/Service records. Needs and Service plan, Physician report, MAR, UIR for R1. On 01/11/2023 LPA Calderon interviewed S2 for complaint.

Regarding Allegation #1 : Residents room was not properly maintained.

On 01/10/2023 LPA Calderon interviewed W1 for complaint. W1 states that W1 visited R1 facility. W1 states that W1 entered R1 room and notice dry feces on the bed sheets and floor. On 01/11/2023 LPA Calderon interviewed S1 who states that R1 room is cleaned daily, and day and night shift make sure that R1 diaper is changed at night as R1 refuses to go to the bathroom. On 01/11/2023 LPA Calderon interviewed S2 for complaint. S2 states that R1 is changed and some days R1 is nice to work with, but night shift changes R1 linens and diaper and S2 makes sure R1 goes to the bathroom. S2 states that S2 cleans R1 room and facility daily. On 01/11/2023 LPA Calderon attempted to interview R1-R2 but due to mental health issues could not ask questions of residents. On 01/11/2023 toured R1 room and noted room is clean, no feces found on the bed or on the floor. R1 bathroom is clean and well maintained.

Regarding Allegation #2 : Resident was not provided with comfortable accommodations while in care.

On 01/10/2023 LPA Calderon Interviewed W1 for complaint. W1 states that staff do not afford R1 comfortable accommodations as staff do not have time to keep facility clean. W1 states that staff do not change R1 bed sheets and keep the bed clean. On 01/11/2023 LPA Calderon interviewed S1 who states that S1 provides the best accommodations possible, S1 states to provide a clean bed and facility. On 01/11/2023 LPA Calderon interviewed S2 who states that S2 works with R1 and R2 daily and provides the best care possible. S2 states to make sure that R1 accommodations are kept clean. On 01/11/2023 LPA Calderon toured the facility and found the facility comfortable and well maintained. S2 states that S2 cleans R1 room daily and cleans R1 bathroom. On 01/11/2023 LPA Calderon attempted to interview R1-R2, but due to mental health issues LPA Calderon was not able to ask questions.