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13 | Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPA met with staff, Ray Reyes and Dennis Montales, and advised them of the complaint. The administrator was notified over the telephone. Today's investigation consisted of interviews with staff and residents, a record review, and a physical plant inspection to insure the health and safety of the residents.
Facility is in direpair/staff do not respond to resident's request in a timely manner:
In regards to the allegation, it was reported that in the evening of, on or around 02/13/24, facility residents reported a smell of gas. Staff was notified, but informed resident that it will be addressed the next day. Late that night, into the early morning of 02/14/24, Resident 1 (R1) reported the smell of gas getting worse. Call for staff assistance was made, but there was a delay in staff response. Emergency responders (911) called, and the Fire Department responded to a gas leak. As a result of staff's late response, R1 experienced a headache, itchy throat and nose irritation. Prior to the investigation, LPA made contact with the Los |
| Substantiated | Estimated Days of Completion: |
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
02/22/2024
Section Cited
CCR
87303(a) | 1
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7 | Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by | 1
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7 | (continued).. This posed a potential health and safety risk to residents in care.
Licensee did arrange for a technician to check out the stove, burner and gas leak on 02/14/24, and eventually replaced the old stove, purchasing a new stove on 02/19/24, |
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14 | Although arrangements were made tohave a technician address the smell of gas, and licensee purchased a new stove, per LAFD recommendations, efforts should have already been made to prevent the smell of gas from worsening, and affecting a resident in care. | 8
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14 | per LAFD recommendation. Copies of these invoices obtained during the day of the investigation. No further corrections needed at this time. |
Type B
02/29/2024
Section Cited
CCR
87411(a) | 1
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7 | Personnel Requirements - General: Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Information received confirming that there was a staff delay in a response to | 1
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7 | Although arrangements were made to address the smell of gas, efforts were not made to assist R1 immediately the morning of 02/14/14. As POC, licensee will have staff review this section of the regulations, and self-certify that they have read and understood this section of the regulations. |
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14 | a resident's need when the smell of gas was worsening in the early morning of 02/14/24, resulting in R1 to experieince headache, itchy throat and nose irritation. This posed a potential health and safety risk to the resident in care. | 8
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14 | POC is due to the licensing agency by 02/29/24. |
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32 | administered as prescribed when assessed at their medical appointment. Interview with the administrator confirmed that R1 wasn't administered Bumex/Bumetanide from February 14 to February 17 because it was ordered by their physician to hold prior to R1's dialysis scheduled for that week. In regards to R1's insulin, per administrator and staff, R1 is able to check their own blood sugar and inject their insulin on their own, with staff stand by only for supervision. Interviews with R1 confirms that Bumex was placed on hold per doctor's orders. R1 also confirmed that they are able to administer their own insulin, and check their blood sugar. R1 further stated that their medications is given to them as prescribed by their physician. R1 had no complaints with not getting assistance with their medications, as they confirmed with the LPA during their interview, that they get it as prescribed. LPA also interviewed the other four (4) residents, who expressed no complaints of not getting their medications as prescribed, or staff not being able to meet their needs. Based on the information obtained, there wasn't enough evidence to corroborate the allegations of Staff not administering resident their medications as prescribed and Staff not having the competency to meet the resident's needs. Therefore, the allegations is deemed Unsubstantiated at this time.
Staff member is unable to communicate with resident due to language barrier:
In regards to the allegation, it was reported that facility has new staff. Two were reported to not hearing well, and one does not speak English. No names were identified to the allegation. Interviews with two (2) of two staff, that were present during the investigation, deny the allegation. Both staff stated they haven't gotten any complaints or concerns from the residents about not being able to communicate with them. Interviews with five (5) of five residents do not corroborate with the allegation. Residents do admit staff speaks another language, but are still able to communicate with them in English. During LPA's interviews with staff, it was confirmed that staff does have an accent, and speak another language, but LPA was still able to communicate with them and understand their English. Based on the information obtained there was insufficient evidence to prove staff is unable to communicate with residents due to a language barrier. Therefore, the allegations is deemed Unsubstantiated at this time. |