Complaint Investigation Report

A physical plant tour was conducted from 10:25 – 10:45 a.m. and LPAs observed a pair of scissors to be accessible to residents in care in the kitchen sink. Additionally, LPAs observed a laundry room in the hall, in which they key is kept hanging next to the door. Based on LPAs observation, these allegations are substantiated at this time.

Medications were not kept in a safe and locked place.

Facility staff did not follow proper Covid-19 screening protocols.

Facility staff did not follow proper Covid-19 masking protocols.

Facility restroom was not equipped with proper hygiene supplies.

An interview with the Administrator was conducted over the phone at 10:45 a.m. During this interview, the Administrator stated that on various random visits from 2/12/21 – 6/16/22, a credible witness observed the deficiencies listed above and verbal conversations between the Administrator and the credible witness took place. The Administrator indicated that they did in fact had a resident in care that would keep medication on their bedside table in their room, but that the resident is no longer at the facility.

During today’s visit, LPAs did not observe medications accessible to residents in care. Additionally, the Administrator stated that during a visit by the credible witness, they observed expired milk and S1 proceeded to dispose of it. Lastly, the Administrator admitted that during previous visits by the credible witness, staff were not wearing masks or screening visitors. It was also admitted that there were no paper towels in one restroom during one visit. Based on an interview conducted with the Administrator, these allegations are substantiated at this time.

Deficiencies were issued per CA code of Regulations Title 22. See 9099D's included with this report. Appeal rights issued. Report signed and delivered. Exit interview conducted.