Complaint Investigation Report

During LPA Dolores’ visit, 4 staff were observed to be working. During LPA Donato’s visit there were about 5 staff working, some are with residents in the dining area, some were at the living room watching tv with the residents. LPA also observed that when a resident called for help, a staff was there to attend to the resident.

For the allegation of facility not following their infection control policy, RP stated that COVID protocol/infection control not properly implemented when there is an outbreak.

LPA interviewed staff members. S1 stated that they do have isolation rooms in case there is an outbreak. It's located in between the office and main rooms.There's a separate entrance with ramp. LPA documented the area through photos. Food is left to the staff room in between the isolation room and hallway and is taken by a staff assigned to serve it to residents. Incident reports are also submitted to licensing.

Regarding the allegation of Licensee/ADM is not carrying out his/her responsibilities and authority to carry out the policies of the facility, RP stated that owners of the facility area always out of the country and doesn’t care what’s going on in the facility.

During the interviews, S1 and S2 stated that Administrators Judith and James Morales is here basically every day when they are here in the area.

Based on records review, there are other staff who are qualified administrators also and are there when Licensees are not around.

Although the allegations may have occurred or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are deemed UNSUBSTANTIATED.