It was alleged that during the month of May 2020, Resident 1 (R1) had some bruising caused by staff during an assisted shower. Licensing Program Analyst (LPA) interviewed R1, who was not able to answer LPA’s question due to R1’s diagnosis. LPA interviewed staff who assist R1 with dressing in the morning and showers. Staff stated that they do not recall observing any bruising on R1. Staff 1 (S1) and Staff 2 (S2) stated that R1 sometimes bumps into things and likes to pick at R1’s scabs. Staff stated that staff are to notify management immediately if they notice any skin issues, such as bruising. Staff stated in interviews that every resident shower that staff assist with, a shower sheet is completed. Staff clarified that a shower sheet is for the staff to do a head to toe observation and note down any skin issues observed. LPA was provided the month of May 2020 shower sheets for R1. LPA did not observe any bruising documented on these shower sheets. LPA did observe a “skin tear irritation” documented on 5/8/2020 which was reported to the Med-Tech. LPA observe that staff continued to document healing process. LPA also observed notes documented on shower sheets stating, “itchy on arm” but nothing on bruising documented. Administrator stated in interviews that if staff are aware of any bruising or skin issues, they report it right away. Administrator also stated that staff will immediately notify the responsible party, primary doctor, and Licensing of the incident. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

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It was alleged that kitchen staff who prepares food do not have food handler certificates. LPA observed that Staff 3 (S3) and Staff 4 (S4) do not hold a food handler certificate on file. LPA observed that S3 and S4 were server and does not prepare food. LPA observed that the cooks and the main chef have their food handler certificates on file. LPA interviewed Administrator Lupe Ramirez, who stated in interview that server is encouraged to have food handler certificates but are not required. Lupe stated that only staff who prepares food, like the cooks and main chef, are required to have food handler certificates. Lupe also stated in interviews that the Main Chef have monthly training with staff throughout the year. Lupe provided LPA with documentation of trainings. Lupe also provided LPA with job descriptions for Cook and Server. LPA observed on the job description for server, food handler certificate is not a requirement. LPA observed on the job description for Chef, food handler certificate is required. LPA observe that the Chef and Cook all have their food handler certificate on file. LPA did observe that all server had food handler certificates, except S3 and S4. Lupe stated in interview that S3 was hired 4/30/2020, but had some attendance issue and was terminated 5/20/2020. Lupe stated that S4 was hired on 3/28/2020, originally as a caregiver, who was working temporary as a server on light duty but resigned 5/20/2020. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No citations were observed during the investigation of this complaint. An exit interview was conducted and TWO (2) copies of this report was emailed to Lupe Ramirez, Administrator. ONE (1) copy to sign and return to LPA to put on the physical file and ONE (1) copy to be kept at the facility for records.