Complaint Investigation Report

Based on observation and interviews , LPA observed S1 informing a visitor (SC) to contact R1's Power of Attorney (POA) prior to visitation, S2 informed LPA that POA requested facility to notify him of all R1's visitors. S1 informed LPA it was part of protocol for visitors of R1 to contact POA until today when S2 informed S1 it was no longer a protocol. SC informed LPA that during her previous attempted visitations and calls, SC was informed she would need to inform POA first. SC informed LPA R1 was admitted to the facility with a hearing aid. S3 reported to LPA R1 only has glasses at the facility which is kept in the Med Room or in R1's room since R1 often leaves it around the facility. S3 informed LPA caregivers remove residents hearing aids at night to charge in the Med Room, and signs the document with their initial. S3 reported to LPA R1 does not have a hearing aid. LPA observed POA informing S2 on speaker phone that R1 did have a hearing aid and it may have been misplaced over the years. LPA observed R1's Care Plan/ADL "Action: Hearing Level of Assistance- Moderate" to be initialed on Care Day Shift 1 Thursday 1st to Thursday 8th, and Care Evening Shift 1 Thursday 1st to Wednesday 7th.

As a result of the investigation , LPA finds the allegations to be (S) SUBSTANTIATED - A finding that the

complaint is Substantiated means that the allegation is valid because the preponderance of the evidence

California Code of Regulations, Title 22, are being cited.

Please see the attached LIC 9099-D for deficiencies.

Exit interview conducted with General Manager, a copy of the report and appeal rights was left at the facility.