The investigation revealed, per LPA interviews, with (10) staff members, and (5) residents from the Terraza Court facility, and review of facility documents that facility provides activities to its residents in care.

LPA interviewed S1, and was informed that there is a monthly calendar of resident activities for assisted living and memory care residents. The activities were suspended due to COVID-19 social distancing directive from the Department of Social Services Community Care Licensing, but due to new directives from the Department of Social Services Community Care Licensing activities have resumed for assisted living and memory care residents in the facility. On 6/17/21, LPA observed resident's June activity calendar posted in public areas in the facility. In addition, on 6/17/21, LPA observed activities being conducted for assisted living and memory care residents. LPA was provided by S6, copies of pictures of residents participating in arts and crafts activities. LPA interviewed 10 staff members, and 10 of 10 staff members informed LPA that the facility conducts activities for its assisted living and memory care residents. In addition, LPA interviewed

Based on information gathered, LPA did not find sufficient evidence to support allegation " Staff are not providing adequate activities for residents in care ”.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted with Greg Becker, and a hard copy of a LIC 9099 was provided.

The investigation revealed, per LPA interviews, with (10) staff members, and (5) residents from the Terraza Court facility, and review of facility documents that R1 resident fell while in care. LPA interviewed S1, and was informed, that R1 is a fall risk, but is not aware of R1 falling on 5/15/21, and not aware that R2 seek staff assistance for R1. S1 stated that the evening and NOC shift caregivers check on the residents on a regular basis. In addition, the caregivers on evening and NOC workshift have other duties to complete during their workshift. Also, case notes for R1 state that R1 fell on 5/15/21. S2 provided LPA, R1’s case notes, that state that R1 fell off bed on 5/15/21, and was found by staff .

On 6/17/21 at 1pm, LPA reviewed R1 facility folder and found no fall risk plan .

Based on information gathered, LPA found sufficient evidence to support allegation " Resident fell while in care ”.

Allegation: Resident left on floor for extended period of time.

The investigation revealed, per LPA interviews, with (10) staff members, and (5) residents from the Terraza Court facility, and review of facility documents that R1 was left on floor for extended period of time. LPA interviewed S1, and informed LPA that was not aware of R1 falling on 5/15/21, or of being on the floor for extended period of time. S1 states that the residents are checked on during the evening. S1 does not know how often, or if R1 was check by a staff person. S1 states that there is no document that indicates the time the facility staff check on residents and also does not have a list of duties conducted by NOC shift.

On 6/17/21, at 3pm, S1 informed LPA that there is no documentation or log sheet of staff room checks, and facility does not have a list of duties for NOC shift staff.

Based on information gathered, LPA found sufficient evidence to support allegation " Resident left on floor for extended period of time ”.

Report continued on LIC 9099C

The investigation revealed, per LPA interviews, with (10) staff members, and (5) residents from the Terraza Court facility, and review of facility documents that the facility telephone in not properly manned.

LPA interviewed S1, and was informed, that once the receptionist leaves, there is a system in place to receive calls after business work hours. A telephone number is posted outside the door, to use if need contact in the facility. S1 is not aware of the telephone system not working after business hours. S3 informed LPA that on 6/6/21, at approximately 9pm, received a telephone call from a resident’s family member, informing that a hospice nurse has been outside the facility, calling the telephone number with no answer. S3 contacted a staff person, in memory care, and the staff person let the nurse enter the facility.

Based on information gathered, LPA did find sufficient evidence to support allegation " Facility's telephone is not properly manned ”.

Based on LPA observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. A telephonic exit interview was conducted with Greg Becker, Administrator and a hard copy of a LIC 9099 and LIC 9099D was provided.