Complaint Investigation Report

LPA Moleski reviewed the file of the resident who currently resides in room D3 (R3). LPA Moleski observed a signed admission agreement permitting R3 to live in room D3. The admission agreement was dated September 27, just two days after R1 left room D3. LPA Moleski reviewed a payment authorization form and a community fee receipt for R3, both signed and dated Sept. 27.

LPA Moleski did not observe a current admission agreement for R1 for their new room, D7. According to Bassi and S1, R2 was moved out of room D7 into room C2, in order to permit R1 to return to their initial memory care cottage. LPA Moleski reviewed R2's file and observed no admission agreements on file. Bassi said R2's initial admission agreement was written under the previous management company. LPA Moleski was provided two apartment transfer forms for R2. One indicated that R2 was to be moved from room D7 to room C2, however, this form was not signed. The second indicated that R2 was to be moved from room D7 to room C5. This version was signed by R2's responsible party, and by a facility representative, and was dated Sept. 26. However, as of today's visit, R2 is living in room C2, not room C5, as the signed and dated modification states. R2 had no current signed and dated admission agreement on file regarding their present residency in room C2.

During a tour of Cedar cottage, LPAs Moleski and Lindstrom observed an office area in the cottage unattended. LPAs Moleski and Lindstrom observed several binders left lying on a desk area, despite the presence of locking cabinets directly above the desk. LPAs Moleski and Lindstrom observed multiple documents containing confidential resident information present in these binders, including residents' diagnoses, care plans, care notes, prescription information, medical information, and other personal identifying information. There was not a staff member in the immediate vicinity when LPAs Moleski and Lindstrom began inspecting the area. LPAs Moleski and Lindstrom did, however, observe residents and at least one visitor walking by during their inspection of the records.

The department has determined the following as it relates to the allegations that staff did not allow a resident access to their bedroom and that staff do not safeguard residents' confidential information:

Based on interviews and record review, the above allegations are SUBSTANTIATED. A finding that the complaint allegations are substantiated means that the allegations are valid because the preponderance of evidence standard has been met. This facility is hereby cited per 22 CCR Sections 87507(f) and 87506(c)(1) An exit interview was held with Bassi. A copy of this report and appeal rights were left with Bassi.