Facility Evaluation Report

During the investigation of Complaint #25-AS-20210722143123, dated 07/22/21 a deficiency was noted and shall be cited on this LIC 809 document. The initial allegation was that a Resident was left in bed in her own urine.

Donna Gurriere, Licensing Program Analyst was in contact and met with Ivy Garner, Assistant Administrator. It was alleged that a resident (Resident 1) is being left in her bed in her own urine.

LPA Gurriere completed the required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID 19 infection to affirm no COVID-19 related symptoms. The administrator/staff person was contacted to complete a facility risk assessment. LPA Gurriere ensured that hand sanitizer was applied before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 mask. Additionally, LPA Gurriere was screened by a staff person upon entering the facility.

Although it was not indicated that the resident was left in bed in her own urine, the staff are required to follow a bowel and bladder program developed by a skilled professional. The staff have indicated that they followed a schedule; however, the staff have not been trained by a skilled professional, as required.

Based on the evidence obtained, the preponderance of evidence standard has been met; therefore, the deficiency is found to be Substantiated. California Code of Regulations (Title 22) is being cited on the attached LIC 809D. Appeal rights were provided and the exit interview conducted.