1440 by the Bay

Type of visit: Case Management - Health Checks

On 09/04/2026, at 02:00 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct a health and safety check as a result of Priority 1 complaint #15-AS-20260903154639. Upon entry into the community, the LPA informed Executive Director (ED) Robert Alvarado of the purpose of the visit. At 4:00 PM, the LPA toured the 5 floors and the rooftop of the community. The tour included, but was but not limited to, resident rooms, shared and resident room bathrooms, common area dining rooms, kitchens, and common areas. At 4:11 PM, the temperature in the hallway of the fifth floor was measured to be 73 degrees Fahrenheit. The maximum hot water temperature at 4:18 PM of resident R1 was measured at 109 degrees Fahrenheit. There is more than the minimum of a 7-day supply of nonperishable foods and 2-day supply of perishable foods in the main kitchen. During the tour, the LPA observed adequate lighting for the comfort and safety of residents in all rooms. The passageways, inside and outside, are free of obstruction, and there are no bodies of water. The fire extinguishers were fully charged and last serviced on 01/21/2026. The LPA observed Staff S1 at 4:08 PM and Staff S2 at 4:27 PM using locking medication carts appropriately. As S1 showed and S2 explained, all of the required first aid components are stored in the medication carts and in the locked medication rooms on the second, third, and fifth floors of the community. No citations were issued during the inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Sep 4, 2026

We haven’t transcribed this report yet. The complete document is on the state’s site.

Allegation investigated: Facility's elevator is in disrepair

On 07/30/26 at 2PM, Licensing Program Analyst (LPA) Daisy Panlilio arrived unannounced and met with Executive Director (ED). LPA explained the purpose of the visit, gathered information, conducted interviews and delivered investigation finding to ED. Allegation: Facility elevator is in disrepair Investigation Finding: Unsubstantiated On 07/30/26 at 2PM, LPA interviewed Executive Director (ED) and random residents (R2, R3), toured the facility and reviewed elevator maintenance records and Resident Council response letter issued on 07/20/26 showing elevator repair updates. ED stated that there are three (3) working elevators for use by residents at the facility. LPA toured the facility with ED and observed the two (2) main elevators used by residents across from the gym/mail box areas and another elevator (service elevator) located near the dining area. LPA observed one (1) of the main elevators across the mail box area had an out of service sign posted on the elevator door. Continued on next page, LIC 9099_C Unsubstantiated At 3:45PM, ED stated residents may use all elevators as necessary. ED stated that on 07/06/26, one (1) of the main elevators was taken out of service for repairs due to a broken valve and oil change. ED stated he has requested numerous times with elevator repair company to expedite and fix the broken elevator as early as possible. ED also stated that a written letter was given to all residents on 07/20/26 informing them that the elevator repair was tentatively scheduled to be completed no later than 08/06/26. At 3:30PM, LPA interviewed random residents (R2, R3) who stated that despite the wait of less than 10 minutes, they were able to use the two other operating elevators in going to and from the different areas of the facility and staff were timely addressing their care needs.. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that the facility elevator is in disrepair was found to be unsubstantiated. No deficiencies cited during visit. Exit Interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 30, 2026 · control 15-AS-20260726220051

Allegation investigated: Unlawful Eviction Staff verbally abused resident while in care

On 07/07/2026 at 10:35 AM, Licensing Program Analysts (LPAs) David Doidge and Carol Fowler arrived unannounced to conduct an initial 10-day complaint investigation and to deliver findings regarding the allegations above. LPAs met with Executive Director Robert Alverado and explained the purpose of the visit. During the course of the investigation, LPA obtained copies of the Physician’s Report, Admission Agreement, and the eviction notice for R1. LPAs interviewed S1 and R1. LPAs attempted to speak to S2 and W1, S2 was out of the country and W21 did not get back to LPAs. Allegation: Unlawful Eviction Continued on LIC9099-C Unsubstantiated Continued from LIC9099 Investigation Findings: It was reported to the department that a resident was served with an eviction notice on June 22, 2026. The resident resides in independent living and stated that the facility offered a promotion providing two months of free rent for new residents and that because the resident has lived at the facility for several years, the resident believed the resident should have also received the promotional benefit and, as a result, did not pay rent for two months. R1 informed LPAs that since the facility has not offered R1 the promotion, R1 has not paid. R1 informed LPAs that R1 does not feel R1 is unlawfully being evicted. R1 understands that the facility is moving forward with an eviction due to R1 not paying and told LPAs, “I want to see what they are going to do.”. S1 informed LPAs that S1 served R1 with an eviction notice on 04/15/2026 and has been trying to work with R1 in finding assistance or legal aid to no avail. S1 informed LPAs that S1 has been trying to get R1 to seek assistance with R1 being rude and dismissive in response. LPAs reviewed the eviction notices sent to R1 and found the grounds for eviction to be based on nonpayment of rent for six (6) months. Based on interviews conducted and record review, the above allegation is UNSUBSTANTIATED. Allegation: Staff verbally abused resident while in care Investigation Findings: It was reported to the department that the facility manager told the resident that the resident would be homeless and they would "roll her out on the street" if evicted. R1 informed LPAs that S1 said this to R1 in private but later admitted it in front of S2 and W1. R1 said S1 was being rude and threaten that R1 would be rolled out of the facility. LPAs could not interview S2 as S2 was out of the community on leave. W1 informed LPAs that S1 was not being rude, S1 was just trying to impress on R1 what S1 had seen in the past and what R1 could expect to happen if R1 did not start paying rent. W1 stated that W1 did not hear S1 say “roll her out on the street”. W1 stated that S1 told R1 that the Sheriff would escort R1 out of the building. S1 informed LPAs that S1 was conveying to R1 the consequences of R1’s actions and what R1 could expect if the eviction did occur, including being escorted out of the community. Based on interviews conducted, the above allegation is UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 7, 2026 · control 15-AS-20260702103402

Allegation investigated: Staff is isolating a resident.

On 02/10/2026 at 11:00 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct an initial 10-day complaint investigation and to deliver findings in regards to the allegation above. LPA met with Executive Director Robert Alverado and explained the purpose of the visit. During the course of the investigation, LPA obtained copies of R1’s Physician’s Report, Appraisal Needs and Services Plan, Admission Agreement, and the Identification and Emergency sheet. LPA interviewed R1, S! and S2. LPA reviewed facilities community activities calendar, and daily activities flyers. Allegations: Staff is isolating a resident. Continued on LIC9099-C Unsubstantiated Continued from LIC9099 Investigation Findings: It was reported to the department that a resident feels isolated from peer group. LPA met R1 in the lobby by R1’s self. LPA overserved other residents keeping their distance and not making eye contact with R1 as LPA and R1 walked through the lobby. LPA interviewed R1 who expressed concerns about other residents avoiding R1 which makes making friends and socializing difficult. R1 feels cut off from others and that staff do not encourage socializing amongst residents. R1 was seen by staff returning to R1’s room after speaking with LPA. LPA spoke with S1 who informed LPA that R1 is in Independent Living and tends to keep to R1’s self. S1 stated R1 is able to leave the facility unassisted and will make trips to local stores a few times a week, alone. S1 and S2 have multiple times encouraged R1 to join group activities and have suggested different events for R1 to join. Neither have ever seen R1 show interest nor attend. S2 reported that R1 is not unconfrontational nor rude but does seem to avoid talking to others. S2 noted R1 is quiet and stays to self. LPA observed activity calendars with multiple events taking place throughout the day. LPA asked R1 if any seemed interesting. R1 said none did. Based on interviews and record reviews conducted, the above allegation is unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted and a copy this report was provided.the state’s words, verbatim · CDSS document, Feb 10, 2026 · control 15-AS-20260204144043

Type of visit: Required - 1 Year

On 10/06/2024 at 10:00 PM, Licensing Program Analysts (LPAs) David Doidge and Andrew Christy arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Executive Director Robert Alverado and explained the purpose of the visit. LPAs toured the facility including but not limited to, resident rooms, bathrooms, multiple activity rooms, kitchen, and common areas. LPAs observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees Fahrenheit. The hot water temperature in a common bathroom was measured at 116.4 degrees Fahrenheit. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/05/2025. Emergency disaster drills are conducted quarterly; last conducted on 10/01/2025. First aid kit was observed to be complete. LPAs reviewed five (5) resident records and five (5) staff records, all were complete. No deficiencies observed or cited during this visit. Exit interview conducted and a copy of this report providedthe state’s words, verbatim · CDSS document, Oct 6, 2025

Allegation investigated: Facility did not provide resident files to responsible party

On this day at 09:40 am, LPA David Doidge arrived unannounced to deliver findings on the allegation listed above. LPA met with Vivian Villegas Operation Specialist and explained to the purpose of the visit. During this vast LPA spoke with Vivian Villegas Operation Specialist and confirmed the facility could not show what was sent to the requesting party by the prior ED. Requesting party had requested the complete record for R1. Allegation: Facility did not provide resident files to responsible party. Investigation Finding: Substantiated. The facility did not provide the Requesting Party with the complete records for R1. Continued on 9099-C Substantiated Based on interview, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099-D. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, May 20, 2025 · control 15-AS-20250502110907

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506©(1) · Plan of correction due date: May 20, 2025

(c) All information…shall be confidential. (1) The licensee shall…and all employees shall…make available…information…upon …written consent…his designated representative. Based on interview, licensee did not provide requested documents to requesting party.the state’s words, verbatim · CDSS document, May 20, 2025

Plan of correction: Within a week, facility to provide copies of records to the requesting party and notify LPA records were provided.

Allegation investigated: Facility is not meeting resident's transportations needs

On this day at 09:15 am, LPA David Doidge arrived unannounced to conduct 10-day investigation on the above allegation and deliver findings.LPA met with Vivian Villegas Operation Specialist and explained the purpose of the visit. During the investigation, LPA interviewed one (1) resident and three (3) staff. LPA obtained a copy of R1's medical report, a doctor's letter and the Service Pan for R!. LPA also reviewed the admission Agreement for R1. Allegation: Facility is not meeting resident's transportations needs Findings: Based on interviews with three (3) staff, the facility offers a transportation service that accoumodates all resdients' needs. Residents are assisted on and off the van with or without an electric scooter or wheelchir.The facility has opted to discontinue a paid transportation service and use thier own transporttation van. Continued on LIC9099-C Unsubstantiated Continued from LIC9099 Staff have made every effort to reasonably accommodate all residents' transportation needs. Resident have the option of booking their own transportation and paying out of pocket or utilizing the facilities van service. Based on interviews and record reviews conducted, the above allegation is unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. No deficiencies cited during visit. Exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, May 13, 2025 · control 15-AS-20250508161825

Allegation investigated: Staff did not seek medical attention in a timely manner.

On 3/24/2025 at 10:40 a.m. Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced visit to deliver the findings for the above complaint allegations. LPA met with Human Resources Coordinator, JoNai Davis- Hendricks explained the purpose of the visit. LPA received verbal authorization from Executive Director (ED), Stephanie Hall for JoNai to sign the report. ED was not available during the visit. Report Continue on LIC9099c... Substantiated R1 was diagnosed with nontraumatic intracranial hemorrhage, hypertension, macrocytic anemia, history of Cerebrovascular Accident (CVA), dementia and seizure. However, R1 death certificate indicated her causes of death were cardiopulmonary arrest, myocardial infarction and hypertension. There were no other contributing factors to R1 death. A manner of death was not indicated. Allegation: Resident sustained injuries while in care: Unsubstantiated On 3/15/2023, The department reviewed record of R1 care notes and interview RP, and staffs indicate that R1 was sent to the hospital for evaluation. RP stated “While coming on to a Zoom meeting with Verna on 10/27/2020, RP daughter noticed and obvious bruise under R1 right eye. Staff did not report anything to R1 daughter prior to the Zoom meeting and did not know how R1 sustained the bruise”. During staff interviews, caregivers and med techs recalled R1 having a bruise, but vaguely recalled what happened after it was observed. Staff did not know how R1 sustained the bruise. Depending on the severity of an injury, residents are sent out to the hospital for further evaluation. Staff stated family members can always decline to have the resident transported to the hospital. During R1 hospitalization, R1 was diagnosed with a nontraumatic intracranial hemorrhage, dementia and seizure. Report Continue on LIC 9099c... Allegation: Facility did not provide resident's records to responsible party. Unsubstantiated On 3/15/2023, The department interview R1 daughter indicated that recorded requested for R1 medical records and R1 file are all on the text messages that are being submitted to CCLD department. The department reviewed record of R1 daughter text messages, but didn’t not find that either R1 medical record and R1 files was being requested. However, there was a request of x-ray being requested by R1 daughter. Based on interviews and record reviews conducted, the above allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview was conducted and a copy of this report was provided. Allegation: Staff did not seek medical attention in a timely manner- Substantiated On 3/15/2023, The department reviewed record of R1 including medical record, care note, facility’s protocol, and interview staff. The facility's protocol for residents sustaining a fall or an injury, if severe enough, are automatically sent out to the hospital for an evaluation. Because memory care residents are unable to verbalize whether they have fallen, in pain or injured themselves, there could be underlying issues after they sustained a fall or injury that cannot be seen with the naked eye. Despite the decision to transport the resident to the hospital, their families or responsible party can always decline medical transport. Caregiver recalled seeing R1 bruise and reporting it to the med tech. Caregiver was not positive, but believed R1 was sent to the hospital two days later to have it looked at. Program Director did not recall R1 bruise. After being shown photos of it, Program director confirmed that it was definitely a bruise and staff should have immediately sent R1 to the hospital to be evaluated. Caregiver remembered seeing the bruise on R1 eye and reported it to the med techs, but she did not know what was done after the fact. Report Continue on LIC 9099c... According to text messages between R1 daughter and the second-floor med tech (names unknown) between 10/28/2020 through 10/31/2020, the med tech was told to send R1 to the Emergency Department (ED) if the bruise worsened, per R1 doctor, Dr. Artemio Perez. On 10/29/2020, the med tech on duty advised they would send R1 out to the ED or request an x-ray if the bruise worsened. Dr. Perez ordered x-rays to be done, but it did not appear they were as R1 daughter inquired about it and there was no response by staff via text message. There were no records of an x-ray done and R1 did not go to the ER until 11/6/2020, approximately 10 days after the bruise was first observed. Based on evidence obtained during the course of this investigation, the Department has substantiated staff did not seek medical attention in timely manner. This is a factual determination based on all the facts and circumstances of the case. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 24, 2025 · control 15-AS-20221212154158

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(g) · Plan of correction due date: Apr 4, 2025

87465 Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement was not met as evidenced by staff there were no records of an x-ray done and R1 did not go to the ER until 11/6/2020, approximately 10 days after the bruise was first observed, which posed a potential health & safety risk to resident in care.the state’s words, verbatim · CDSS document, Mar 24, 2025

Plan of correction: By POC due date, ED agreed to complete and submit to CCL in-service staff retraining certifications on full understanding of the regulation 87465(g) Incidental Medical and Dental Care section (g) in compliance with Title 22 Section 87465(g).

Allegation investigated: Staff unlawfully evicted a resident Staff over charged a resident

On 12/18/2024 at 11:10AM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to deliver findings for the above allegations. LPA met with Executive Director Stephanie Hall explained the purpose of the visit. On the allegation: Staff unlawfully evicted a resident Based on record review and interviews the facility did send R1 and R1’s POA a notice titled “Final Demand to Pay & Discharge Notice” on October 18, 2024. This notice stated “this letter services as your official 30-Day Notice” but did not include resources available to assist in identifying alternative housing and care options. On the allegation: Staff over charged a resident Based on records review, and interviews, in March of 2024 the facility discussed a level of care change with a family member that was not the resident’s representative and did not disclose that this care change would come with an increased rate. Both W1 and W2 stated that they did not receive any written notice of the care change or the rate change. Continued on LIC9099-C... Substantiated ...Continued from 9099 Based on LPAs interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 18, 2024 · control 15-AS-20241106103617

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.657(a) · Plan of correction due date: Jan 1, 2025

For any rate increase due to a change in the level of care ... the licensee shall provide the resident and the resident’s representative, if any, written notice of the rate increase … a detailed explanation of the additional services ... This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above by not providing the resident and the resident’s representative, if any, written notice of the rate increase within two business daysthe state’s words, verbatim · CDSS document, Dec 18, 2024

Plan of correction: The facility agrees to submit the notice of reduced care charges that was sent to the resident/POA. The facility also agrees to review the regulations and submit a letter of self certification to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87224(d)(1)(b) · Plan of correction due date: Jan 1, 2025

The licensee shall set forth in the notice to quit the reasons relied upon …. (1)The notice to quit shall include the following information:(B) Resources available to assist in identifying alternative housing and care options which include…This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above by serving R1 with an eviction notice that did not contain all items required under regulation, which poses a potential health and safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 18, 2024

Plan of correction: The facility agrees to review the regulations and submit a letter of self certification to CCLD by POC date.

Type of visit: Required - 1 Year

On 11/20/2024 at 01:30 PM, Licensing Program Analysts (LPAs) D. Doidge and C. Fowler arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with, Stephanie Hall, Executive Director and explained the purpose of the visit. LPAs toured the facility including but not limit to, bedrooms, bathrooms, multiple activity rooms, kitchen, and common area. LPAs observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees Fahrenheit. The hot water temperature in a common bathroom was measured at 107.1 degrees Fahrenheit. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 01/15/2024. Emergency disaster drill was last conducted on 10/20/2024. First aid kit was observed to be complete. LPAs reviewed five (5) resident records and five (5) staff records, all were complete. No deficiencies observed or cited during this visit. . Exit interview conducted and a copy of this report providedthe state’s words, verbatim · CDSS document, Nov 20, 2024

Allegation investigated: A resident sustained an unexplained injury/fracture while in care.

On 5/3/2024 at 12:30PM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to deliver findings for the above allegations. LPA explained the purpose of the visit with Executive Director Stephanie Hall. On the allegation facility A resident sustained an unexplained injury/fracture while in care. Based on record review and interviews the facility did observe that R1 right shoulder was swollen is leaning to the left side. 911 was called and was sent to the hospital for further evaluation where it was found that Right Proximal Humerus unspecified type fracture. R1 lives on the assisted living floor and the fall was unwitnessed. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 3, 2024 · control 15-AS-20240207125808

Allegation investigated: Insufficient staffing resulting in resident falls Residents are being left in soiled clothing and undergarments Residents are being mishandled Residents developing bedsores while in care

On 4/12/2024 at 10:00AM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to deliver the finding on the above allegations. LPA explained the purpose of the visit to Administrator, Stephanie Hall. On the allegation insufficient staff resulting in resident falls. LPA observed staffing schedule for 11/1/2023-12/21/2023. Facility had sufficient staffing for all shifts, including caregivers, med techs and kitchen crew. On the allegation Residents are being left in soiled clothing and undergarments. LPA toured the facility with ED and observed that residents were in clean unsoiled clothing. S1 was asked what staff do when they observed residents in solid clothing S1 said the staff clean them up and put them in new clothing. Continued on LIC 9099C.... Unsubstantiated ...Continued from LIC9099 On the allegation Residents are being mishandled. Interviews with staff and residents indicated that staff does not mishandle residents while in care. Staff or residents have not seen any staff mishandle residents. On the allegation Residents developing bedsores while in care. LPA was given a list of all of the residents who are bedridden and a list of residents who have bedsores. S1 stated that all of the residents with bedsores are bedridden and on Hospice. Based upon the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 12, 2024 · control 15-AS-20240126074307

Allegation investigated: Staff did not accord privacy to resident in care. Staff did not ensure that resident's hygiene needs were met. Staff did not ensure that resident was provided clean bedding. Staff did not ensure that resident's room was maintained in a clean condition. Staff did not ensure that resident was administered all of their medication(s). Staff are not adequately trained.

On this day at around 10:20 am, LPA Luisa Fontanilla arrived unannounced to deliver findings for the above allegations. LPA was met by Human Resources Director JoNai Davis-Hendricks. LPA explained to Hendricks the purpose of the visit. The Executive Director was out of the office but was contacted via telephone and authorized Hendricks to sign the report. On 3/19/2024, LPA Luisa Fontanilla conducted an initial visit and met with Stephanie Hall, Executive Director. During the visit, LPA obtained the following records: Resident 1 (R1) Physician’s Report, Identification and Emergency Information, Medication Administration Record (MAR), and Assessment, Staff Roster and Resident Roster. LPA interviewed a total of five staff. Based on records reviews and interviews conducted, R1 stayed at the facility on respite. Upon move in, R1 was missing one medicine. Staff 3 (S3) states R1’s son was aware of the missing medicine. LPA observed S3’s notes in R1’s MAR that R1’s son and primary doctor were notified. The MAR also indicates that R1’s son informed S3 that the medication was not available in the pharmacy. continuation on Lic 9099C . Unsubstantiated While at the facility, R1 tested positive for Covid. Staff interviewed state all the care needed including but not limited to assistance with ADLs as indicated in the assessment, housekeeping/changing of sheets once a week were provided. Staff state they wore full PPEs when going inside R1’s room to make sure care is provided. Regarding R1’s meal during isolation, staff interviewed state that dining staff would bring all of R1’s foods and leave them outside R1’s room. Then the caregivers would bring the food inside R1’s room wearing full PPEs. In regard to the privacy allegation, LPA interviewed S3. S3 states that while waiting for one of R1’s medicines that was ordered, a package was delivered. Thinking that it was R1’s medicine, S3 states that S3 opened the package. When S3 found out that it was not the medicine, S3 went to R1 and apologized. S3 states that R1 seemed fine and appreciated everything that the staff do for R1. LPA attempted to contact Reporting Party (RP) multiple times and left voice messages to obtain additional information and clarification regarding employee training. LPA did not get any call back from RP. Based on interviews and record reviews conducted, the above allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No deficiencies were noted. Exit interview was conducted with the Hendricks and a copy of this report was provided.the state’s words, verbatim · CDSS document, Apr 9, 2024 · control 15-AS-20240313115419