Complaint Investigation Report

Staff stated they would take the plastic bags out to the facility's trash cans outside. S1 stated they didn't think to go to a hotel in order to have working bathrooms for residents in care until the facility bathrooms were working properly. The plastic bags of clients waste was put into te regular trash cans. This deficiency will be cited, Buildings and Grounds 80087(a), Personal Rights 80072(a)(2), see LIC9099D.

There was a porta potty brought onto the facility property on 3/15 for staff use; Per interviews, clients continued using plastic bags in the facility toilets and these bags would be taken out by staff to the trash once used. Per S1, facility residents are using the toilets in the facility and have been since 3/15/23. Per staff, S1, stated to the LPA that clients received showers unless refusing one during the incident. LPA reviewed facility records and the records weren't clear on if some of the clients received showering/bathing during the incident. Staff stated the clients were bathed if they wanted to and not if they refused.

On 3/17 BDK was out to the facility and drained the septic tank and also capped it. BDK came out 3/22 due to the rains and emptied the septic tank. again. Per S1, the water is fine and can be consumed this has never been a problem in the facility. We do wash laundry in the facility but we use the Laundromat due to lots of sediment buildup tat happens with the washing machine due to the water. LPA observed a load of laundry being washed and dried in the facility.

S1 stated to the LPA that they had not reported the incident to licensing office when they should have but did send a report on 3/22/23. The LPA discussed reporting requirements, per regulations with the staff; The incident started the evening of 3/13/23, and was reported to the licensing office on 3/22/23, this is not within regulation time frame. This deficiency will be cited, 80061(b)(1)(E) Reporting Requirements, see LIC9099D.

The Licensing Office will contact you/Elwyn California regarding having a Regional Office non-compliance conference meeting with our Managers. I will be in touch with you/Administrator to set up a day and time.

Based upon LPA investigation, observation, statements taken, and records reviewed, the preponderance of evidence standard has been met. Therefore, the above captioned allegations are SUBSTANTIATED. The following deficiencies were observed and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal rights given.