Complaint Investigation Report

The investigation revealed the following: regarding the allegation(s) “Staff do not ensure the residents dishes are clean and sanitary.” It is alleged that staff are not keeping dishes used by clients free from mold and dirt. Two (2) out of the three (3) clients interviewed denied this allegation. Due to cognitive impairments, C4 was unable to be interviewed. Three (3) out of the three (3) staff interviewed denied this allegation. Staff interviews revealed that all dishes are washed and dried, commonly touched surfaces are disinfected during every shift, and reusable water bottles are cleaned and dried daily. During facility tour, LPA Ramirez inspected the kitchen area which included refrigerator, dishes, reusable water bottles, cups, utensils, and cookware. LPA Ramirez did not observe health and safety concerns during inspection of kitchen area. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED .

“Staff do not allow resident to attend religious events” It is alleged that staff did not allow C1 to attend religious events. Two (2) out of the three (3) clients interviewed denied this allegation. Due to cognitive impairments, C4 was unable to be interviewed. Three (3) out of the three (3) staff interviewed denied this allegation. Interview of W1 did not corroborate this allegation. Staff interviews revealed that C1 attends religious services twice a week and C1’s friend (W1) will pick up and drop off C1. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED .

“Staff do not ensure resident is hydrated” It is alleged that staff did not ensure C1 is hydrated. Two (2) out of the three (3) clients interviewed denied this allegation. Due to cognitive impairments, C4 was unable to be interviewed. Three (3) out of the three (3) staff interviewed denied this allegation. Client interviews revealed that staff refill clients’ water cups or water bottles daily. During record review of C1’s Unusual/Incident Reports, and recent annual physical, LPA Ramirez did not observe reports indicating C1 was observed being dehydrated or C1 received medical attention for dehydration. During facility tour, LPA Ramirez observed plastic tumblers filled with a clear liquid, near three (3) out of the three (3) clients that were present in the facility during LPA’s visit. LPA Ramirez observed three (3) out of the three (3) clients present at the facility to have moist lips, and no visible signs of dehydration. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED .