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32 | S1 was interviewed and reported the following information. R1 requests that staff retain possession of their cigarettes and provide them at R1’s request in order to regulate their cigarette use. However, during multiple occasions while S1 is dispensing medications for the residents, R1 approaches S1’s medication cart to request cigarettes. S1 informs R1 that they are currently dispensing medications for the residents and will provide R1 with their requested cigarettes when S1 finishes their task, but R1 remains in front of S1’s medication cart. To avoid any medication errors, S1 kindly asks R1 to go sit down and R1 has stated, “Okay” and made a comment calling S1 their parent. S1 reported that R1 requests one cigarette every ten minutes and S1 has tried to mitigate reoccurring incidents by asking R1 how many cigarettes they would like to be provided before they begin dispensing medications. S1 provides R1 their requested cigarette quantity and ten minutes into dispensing medications, but R1 will continuously request additional cigarettes. S1 reported the incidents have never occurred in the dining room and was unable to provide specific incident dates. S1 reported that based on their cultural background, their communication style may be perceived as “sharp”. However, S1 denied speaking to R1 or any other resident in a rude, condescending, or disrespectful manner and reported they only redirect R1 when necessary. LPA conducted witness interviews with R1’s responsible person and an additional visitor. R1’s responsible person reported that due to R1’s diagnosis, R1 makes repetitive requests and requires frequent redirection which may be misinterpreted as rude. R1’s responsible person and the additional visitor interviewed reported they have never witnessed facility staff use a rude or sharp tone when speaking with R1 or any other facility resident and have no concerns with the care and supervision R1 receives in the facility. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report and Confidential Names list (LIC 811) was provided to MTM Sandoval. |