Complaint Investigation Report

LPA conducted an interview with R1, but was unable to qualify R1 for an interview due to his current cognitive condition. LPA conducted four staff interviews. Four out of the four staff interviewed denied the allegation and stated that the area around R1's catheter has been cleaned everyday. However, based on the file review for R1, LPA observed that the facility currently does not have a care plan that addresses R1's catheter needs. LPA observed that the most recent care plan on file for R1 is dated August 3, 2023, and it does not state how the staff will be assisting R1 with his needs regarding his catheter. Per California Code of Regulation Section 87612, a catheter is categorized as a restriction health condition. Per California Code of Regulation Section 87613(a)(2), it states: (a) Prior to admission of a resident with a restricted health condition, the licensee shall: (2) Ensure that facility staff who will participate in meeting the resident’s specialized care needs complete training provided by a licensed professional sufficient to meet those needs. During the investigation, the Licensee was unable to provide any documented training that demonstrated that the facility staff were provided with specialized training from a licensed professional for R1's catheter needs. Three staff interviewed also corroborated that they did not receive any training from a licensed professional for R1's catheter needs.

Based on the evidence gathered during this investigation, the Department obtained sufficient evidence to substantiate the allegation that, facility did not adequately address resident's catheter. The preponderance of evidence standards has been met; therefore, the above allegation is SUBSTANTIATED. A deficiency is being cited on the attached LIC9099-D page. An exit interview was conducted with Administrator Eleazar Cuyson via telephone . A copy of the report and appeal rights were provided to the facility at time of visit.