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32 | (Continued from LIC9099)
Allegation: Staff do not have planned activities for the residents. Regarding the allegation, it was reported there is a lack of activities during the week, and there are no activities during the weekend for residents.
LPA Rios review of the facility’s activity calendar and it revealed various activities throughout the week. LPA Speath and LPA Rios both observed activities going on during visits. LPA Speath observed a musician and LPA Rios observed a knitting group. Activities on calendar and activities observed by LPAs are on par with the Activity Program Description. Interview with Executive Director on 03/28/24 denies the allegation stating the activity calendar is posted for residents to see and it is up to the residents if they would like to participate. Interviews conducted with five (5) residents on 03/28/24 confirmed the facility does have activities some stating they participate others stating they prefer not to. Four (4) staff interviewed on 03/28/24 also confirmed facility has different activities for residents. Based on interviews and observations this allegation is deemed Unsubstantiated.
Allegation: Staff have inadequate record keeping for a resident. Regarding the allegation, it was reported an admission payment for resident#2 (R2) was misplaced or unaccounted for. LPA Rios review of R2's financial record revealed facility listed deposit amount as paid with dates on form and copy of check consistent with admission date. LPA also observed R2 was set up for direct deposit during their first month of admission with a copy of a void check on file. LPA attempted to interview R2 on 11/05/24 during the facilities annual inspection, but resident did not respond to questioning. Interview with administrator on 11/06/24 denies any issues with payments and also confirmed resident is up to date with payments and currently has a zero balance due. Based on interview and record review this allegation is deemed Unsubstantiated.
Allegation: Staff does not meet the minimum qualifications required. Regarding the allegation, it was reported the current administrator does not currently possess a valid RCFE certification. To investigate the allegation on 02/29/24 LPA Spaeth obtained a copy of a print out from the Administrator Certification Bureau website showing Analilia's certification is active. On 03/28/24 LPA Rios review of correspondence between CCL and the facility revealed facility had informed the department on 04/01/22 that Analilia Zaragoza would be Executive Director submitted required documentation to for change of administrator. On 01/05/2024, CCL received notification Analilia will be Interim Executive Director. Review of records revealed Administrator Certificate on file for current Administrator and Executive Director. Based on interview and record review this allegation is deemed Unsubstantiated.
Exit interview was conducted. A copy of the report provided.
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