Based on interviews conducted with residents and staff which confirmed that the facility does not have sufficient staff, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

For allegation, Staff are not meeting resident’s hygiene needs, it is alleged that facility residents are left in soiled diapers, leading to rashes and residents are not receiving proper hygiene care such as baths/showers. Administrator and staff that were interviewed denied the allegation. They stated that residents that require assistance with their Activities of Daily Living (ADLs) received adequate assistance to meet their hygiene needs on a daily basis for example residents are bathed twice a week, their diapers are changed every two hours and as needed, and they are assisted throughout the day with their ADLs. Staff denied that residents are left in soiled diapers leading to rashes. 7 out of 12 residents stated that their hygiene needs are met, they are receiving timely and scheduled showers, and their diapers are changed in a timely manner. 4 residents stated that they do not need assistance with their hygiene needs. 1 out of 12 residents stated that they do not receive a timely shower due to staffing shortage. Based on interviews conducted with facility staff, and facility residents there was not enough supportive evidence to concur with the reported allegation.

For allegation, Staff are not meeting resident’s laundry needs, it is alleged facility staff are not providing laundry services for weeks, staff are not providing clean linens and instead putting a blanket over dirty linens. Administrator and staff interviewed denied the allegation and stated that facility staff are meeting resident’s laundry needs. Staff stated that residents receive laundry services per their schedule which is one a week for all residents and as needed. 12 out of 12 residents stated that their laundry is done weekly and as needed and they do not have any concerns or complaints regarding their laundry needs. LPA conducted a tour of resident rooms and observed that residents had clean linen. LPA did not observe blankets covering dirty linens. LPA toured the laundry room and observed staff doing laundry. Based on interviews conducted with facility staff, facility residents, and LPA observations there was not enough supportive evidence to concur with the reported allegation.

For allegation, Staff are not addressing mold at the facility, it is alleged that there is presence of mold in storage room B37. Administrator and staff denied the allegation and stated that there is not any mold in any room of the facility. Interviews conducted with 12 out of 12 residents revealed that they have not seen any mold in their rooms. LPA conducted a tour of facility dining room, lobby, medication room, laundry room, patio, memory care unit (random rooms/private bathrooms - total of 5), storage room B37, public restroom and assisted living resident rooms (6 rooms/ bathrooms) and did not observe any mold. Based on interviews conducted with facility staff, facility residents, and LPA observations there was not enough supportive evidence to concur with the reported allegation.

For allegation, Staff are not ensuring residents room does not smell like urine, it is alleged multiple resident rooms have a strong urine odor, and that staff and residents have complained to the Administrator without any improvements. Administrator and staff denied the allegation. They stated that in the morning there might be some strong scents coming out of resident rooms when staff are assisting a resident that might be incontinent, but the smell does not last after incontinent care. Staff stated that linens are changed after accidents and soiled linens and clothing are immediately taken to the laundry room to be washed. Staff also stated that rooms are cleaned daily and that included emptying out trash. 9 out of 12 residents stated that there are not strong odors like urine coming from resident rooms. 2 residents stated that there are strong urine smells at times when staff are assisting a resident with a diaper change. 1 out of 12 residents stated that there are some residents whose clothing smells like urine. LPA conducted a tour of memory care unit (random rooms/private bathrooms - total of 5), public restroom and assisted living resident rooms (6 rooms/ bathrooms) and did not smell any scents that can be described as strong urine odor. Based on interviews conducted with facility staff, facility residents, and LPA observations there was not enough supportive evidence to concur with the reported allegation.

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