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32 | Based on the observations and interviews, LPA Frank determined there was no telephone in Resident #1’s (R1) room and R1 did not have their own cell phone. Additionally, the Facility did not provide a cordless phone or tablet, and R1 was not aware of their right to request a phone so they can "Face time or Zoom time" with friends and family. Staff #1 (S1) disclosed that the Facility does not provide a telephone in residents’ rooms. Interviews with R1, Resident #2 (R2), Resident #3 (R3), and S1 corroborated that the Facility has not provided a means to communicate with their family and friends. S1 and the administrator also confirmed that they have not made phone or iPad options known to residents. In addition to not providing telephone access to residents, an interview with R1 revealed that Facility has not provided activities or outside garden time to residents since about March 2020. Instead, residents were confined to their rooms, unable to communicate with friends and family, engage in activities, or be outdoors. R1’s statements were corroborated by R2 and R3, with all residents interviewed on the topic disclosing that their isolation was causing sadness, loneliness, and depression. S1 and administrator corroborated that Facility did not offer any recreation options or outside “garden time”.
Based on interviews and observation, the preponderance of evidence standard has been met; therefore, the above allegations are substantiated. See LIC9099D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations.
An exit interview was conducted with Administrator via tele-visit a copy of the report along with appeal rights was sent via email and an electronic email read receipt confirms receiving of the report. Administrator agrees to review, agrees to send the signed report via email. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Under Appeal
Type B
11/27/2020
Section Cited
CCR
87468.2(a)(23) | 1
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7 | 87468.2(a)(23) Additional Personal Rights of Residents in Privately Operated Facilities. (23) To be encouraged to develop and maintain their fullest potential for independent living through participation in activities designed and implemented for this purpose, according to Section 87219. | 1
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7 | Licensee states they will develop and update activities schedules, encourage residents to participate in activities, and maintain logs of activities actually offered. |
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14 | This requirement is not being met as evidenced by: LPA’s observation and interviews with residents, staff, and witnesses revealed Facility did not offer any recreation options or outside garden time. This poses a potential health, safety, and/or personal rights risk to persons in care. | 8
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Under Appeal
Type B
11/27/2020
Section Cited
CCR
87468.1(a)(14) | 1
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7 | 87468.1(a)(14) Personal Rights of Residents in All Facilities. (14) To have reasonable access to telephones, to both make and receive confidential calls… This requirement is not being met as evidenced by: LPA’s observation and interviews with residents, | 1
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7 | Licensee states they will place cordless phone systems and tablets on each floor and ensure residents are aware, via posted signs and verbal reminders, of their rights to request a phone or tablet to communicate with friends and family. |
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14 | staff, and witnesses revealed no telephones in resident rooms, Facility did not provide a cordless phone or tablet, and Facility did not make residents aware of their right to request a phone. This poses a potential health, safety, and/or personal rights risk to persons in care. | 8
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