Complaint Investigation Report

392701057-11-22-2023-27-AS-LRIS-CY32MT-20231129163141

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO SOUTH ASC , 9835 GOETHE ROAD, SUITE 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/27/2023 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20230927085042

Facility staff did not ensure resident's hygiene needs are being met

Facility staff do not provide adequate activities for residents

Allegation: Facility staff did not ensure resident's hygiene needs are being met. Based on records reviewed and interviews with the staff the facility documents when a resident has been given hygiene care. LPA was able to confirm that the documentation the facility uses includes: changing clothing, showers, incontinent care, assistance and escorting with reminders for mealtimes. During the course of the investigation the department was unable to confirm that a particular resident's hygiene needs were not met.

Allegation: Resident was left in dirty clothing. Based on records reviewed and interviews conducted the facility documents when residents are assisted with choosing clothing , dressing and undressing with reminders to maintain privacy, safety, comfort and to report any decline in abilities to assist with this activity.

Allegation: Resident was served contaminated food. Based on records reviewed and interviews conducted the facility is in compliance with regulatory requirements for food service and preparation. The allegation mention that a fly was in the food of a resident when served. The facility had no record of the event (over the last three months) and those interviewed confirmed that this did not happen or was not reported by the resident council, staff or family members. LPA did not have evidence (photos or documentation) to support the allegation.

Allegation: Facility staff do not provide adequate activities for residents. Based on observation and records reviewed the facility has a current activities calendar, a staff assigned to carry out the activities and photos of residents engaging in activities. The resident council confirmed that there are improvements that can be made however they are satisfied with the variety of activities offered. Resident council also noted that the facility should given more notice when activities are cancelled.