Complaint Investigation Report

There were 3 residents sitting in the kitchen area enjoying coffee. There was another staff that exited the facility once LPA Valerio arrived. According to an interview with facility staff and administrator, the person was a housekeeper and not a caregiver. LPA observed 5 bedrooms. LPA observed 3 out of 5 bedrooms to have beds without bedsheets, linens, or pillows. LPA observed 1 resident laying on a mattress without any pillows or blankets.

According to an interview with Staff 1 (S1), there are plenty of extra linens in the closet. S1 reported they are unsure why it was not replaced after the soiled bedsheets were taken off the bed. S2 reported that staff clean the bedsheets every day. S2 said they will put the bedsheets on after they clean. S2 showed LPA the closet where extra linen supplies were observed. LPA observed multiple bed covers, bed sheets, and bed comforters that can be utilized.

According to an interview with the Reporting Party (RP), RP observed the facility. RP observed a resident on a bed that did not have any bedsheets. RP observed another bedroom that had two beds with out anything on them.

The observations from the RP prior visit were similar to LPA's observation on 05/29/2024.

Based on observations and interviews, the preponderance of evidence standard has been met, therefore the Department has determined the allegation of Facility staff do not ensure residents have bedsheets to be substantiated.

Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached LIC-9099D. Failure to correct the deficiency may result in civil penalties. Appeal rights were provided.

An exit interview was held with Administrator Beatrice Clark, and a copy of the report was left at the facility.