Medication(s) are not being stored in a safe manner.

On the allegation, ‘Medication(s) are not being stored in a safe manner’, it is alleged that during a recent visit, it was observed that a prescribed medication was on top of a dresser inside the bedroom, in which two residents share a room. At 11:55 a.m., LPA Urena, and staff toured three bedrooms. One bedroom is shared, and two bedrooms have single occupancy. The shared bedroom, and single occupancy bedrooms were found to be in order, and no visible medications or other chemicals were present. At 12:02 p.m., the LPA interviewed the staff about medications and the storage area for medications. The staff showed the LPA a locked cabinet in the kitchen area where medications are kept. Regarding the medication found in the shared bedroom, the staff stated that the resident received the medication to take with them when out in the community. However, on the day of the visit, the resident received the medication to take with them, but instead of putting it in their backpack, the residents decided to go use the restroom, and placed the medication on the dresser, therefore the medication was observed on the dresser.’ The LPA interviewed the Administrator at 12:15 p.m., about the medications left unlocked, and within reach to other residents. The Administrator stated that this was a time when the resident instead of putting the medication in their backpack, and go on about their day in the community, the resident decided to use the restroom, before putting the medication in their backpack, and placed it on the dresser.

Facility is in disrepair.

On the allegation, ‘Facility is in disrepair’, it is alleged that during a recent visit, it was observed that there was no shower head in the clients' bathroom and the bathroom ceiling paint was peeling. At 12:10 p.m., LPA Urena, and staff toured two residents’ bathrooms. The bathroom in the shared bedroom was observed to be in clean condition, shower head present, and no visible sign of disrepair. The second bathroom in the hallway was found to have a shower head, however the shower ceiling paint was visibly peeling. The LPA interviewed the staff, who confirmed that the shower head in hallway bathroom was missing, and was not sure what happened to it. The LPA interviewed the Administrator who confirmed that the shower head in the hallway bathroom was missing, and thought maybe one of the residents removed it. The Administrator stated that a repair person is already scheduled for 07/02/2022 to repair the shower ceiling where the paint is peeling.

Based on the information gathered through the interviews, and observation, there is sufficient evidence to support the claim that the facility needs repair. Therefore, this allegation is deemed Substantiated at this time.

Facility rugs pose a slipping hazard to residents in care.

On the allegation that ‘Facility rugs pose a slipping hazard to residents in care’. It is alleged that the rug in the bathroom did not have an anti-skid material. The LPA toured the facility and observed rugs throughout the facility. The rug in the living room area appeared to be in good condition, the entrance hallway area was observed to be in good condition with non-slip material attached to the corners of the rug. No rugs were observed in the bathrooms. At 12:15 p.m., the LPA interviewed the Administrator about the rugs without the non-skid materials, and the Administrator stated that he installed the non-skid material on the bottom of the rugs. The LPA interviewed the staff about the bathroom rugs, and the staff stated that they were in the wash, and would put them back once the laundry was done.

Based on the information gathered through the interviews, there is sufficient evidence to support the claim that the bathroom rug did not have an anti-skid material. Therefore, this allegation is deemed Substantiated at this time.

On the allegation that ‘Staff did not respond to requests for communication’. It is alleged that the doorbell was not working, and staff did not respond to the visitors on the day of the visit. On 06/28/2022, the LPA observed the doorbell to be in working condition, and the staff was available for the unannounced visit. At 12:15 p.m., the LPA interviewed the Administrator about the doorbell not working and the administrator stated they fixed the doorbell, and ensured that the bell rings loud enough for the staff to hear the bell ring.

Per California Code of Regulations (CCR), Title 22, see LIC 9099-D for deficiencies cited.

Exit interview was conducted, signatures obtained. A copy of the report and Appeal Rights were issued

On the allegation that ‘Staff are not properly supervising residents in care’. It is alleged that the staff was not available to answer the door on the day of the visit. The Administrator who was not physically at the home, was contacted to instruct the staff to open the door. At 12:25 p.m. LPA interviewed the staff about their schedule, and that of the residents. The staff stated that they are usually awake at around 8:00 a.m., and the residents usually wake up after 9:00 a.m. The staff were in the bathroom, and could not attend to the door right away. The LPA interviewed the Administrator about the availability of staff. The Administrator stated that it was early in the morning around 8:00 a.m., however the staff were in the bathroom, and could not hear the doorbell, nor the knocking on the door. The LPA interview resident about the care and supervision provided by staff, and residents stated that staff take care of them, and are available all day at the facility.

Based on the information gathered through the interviews, there is insufficient evidence to support the claim that the staff are not properly supervising residents in care. Therefore, although the allegation may have happened, or may be valid, this allegation is deemed Unsubstantiated at this time.

Exit interview conducted, signatures were obtained and a copy of the report was issued.