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The investigation Revealed: Allegation: Staff are not properly reporting incidents to the party responsible. It is alleged that the facility is not notifying the responsible party of incidents involving resident. LPA interviewed six (6) staff members and six (6) of six (6) staff members denied the allegation. Several staff members stated that they are responsible for reporting incidents to their supervisor and that their supervisor is the person responsible to report incidents to responsible party. LPA interviewed eight (8) residents and six (6) of eight (8) residents stated that their responsible parties are notified or could not corroborate the allegation, two (2) residents could not answer due to cognitive impairment. LPA interviewed W1 which is a family member, and asked W1 how W1 is aware of incidents that are not reported to W1. W1 stated that the facility verbally notifies W1 of all incidents, but not in writing. There is not sufficient evidence to substantiate this allegation.
Allegation: Staff are not assisting resident with showering. It is alleged that the facility does not assist resident with showering. LPA interviewed six (6) staff, and all six (6) staff denied the allegation. Several staff stated that resident will refuse to shower and provided LPA with documentation that showed resident refused showers on 06/11/2025, 06/18/2025, and 07/02/2025. LPA interviewed eight (8) residents and six (6) of eight (8) residents could not corroborate the allegation, two (2) residents could not answer due to cognitive impairment. There is not sufficient evidence to substantiate this allegation.
Allegation: Staff do not allow resident access to bedroom. It is alleged that facility locks the resident’s door in the memory section of facility, denying resident use of bathroom. LPA interviewed six (6) staff, and all six (6) staff denied the allegation. Several staff stated that the doors are locked to protect the residents’ privacy and prevent other residents from wandering into rooms that are not theirs. LPA interviewed eight (8) residents and six (6) of eight (8) residents could not corroborate the allegation, two (2) residents could not answer due to cognitive impairment. During the tour of facility memory are section, LPA observed resident’s door to be unlocked. There is not sufficient evidence to substantiate this allegation.
Allegation: Staff are not providing resident with activities. It is alleged that resident is not provided with activities. LPA interviewed six (6) staff, and all six (6) staff denied the allegation. Several staff stated that resident refuses to participate in activities most days and they cannot force residents to participate. LPA interviewed eight (8) residents and six (6) of eight (8) residents could not corroborate the allegation, two (2) residents could not answer due to cognitive impairments. LPA observed the residents participating in activities during tour of visit, obtained and reviewed activity calendar, and observed activity supplies in the facility. There is not sufficient evidence to substantiate this allegation.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated.
An exit interview was conducted, and a copy of this report was discussed and provided to Maria Nunez, Front Desk, who was authorized to sing by Executive Director Beatrice Lui
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