Complaint Investigation Report

Records review did not corroborate the allegation, and confirmed that residents exhibiting aggression and/or distress were given PRN medications according to their prescriptions. Resident interviews were not possible due to impaired cognition. LPA observations revealed staff members assisting residents with Activities of Daily Living (ADLs) and redirecting them as necessary.

Regarding the allegation, "Licensee did not ensure resident(s) had access to personal care supplies", it was alleged that the Licensee did not ensure protocols were in place for resident personal care supplies to be maintained. Staff interview did not corroborate the allegation, as staff interviewed exhibited knowledge of the Responsible Party notification process when additional care supplies were needed. Records review revealed that the expectation was for residents and/or their Responsible Parties to provide personal care and hygiene supplies, with an agreed-upon option to pay an additional fee if they preferred the facility to provide these items. LPA observations revealed that the facility has had an emergency stock of personal care supplies, including briefs and incontinence supplies, if a resident ran out before their Responsible Party could bring more.

Based on interviews, observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director Stefanie Ancheta, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.