Bonafide Home Care

Allegation investigated: Facility staff are not providing appropriate supervision to residents Facility staff do not maintain passageways free of obstruction Facility staff not assisting resident with mobility as needed Facility staff not assisting resident with using the restroom

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegations mentioned above and met with Staff Cris Delos Ama. Regarding allegation, Facility staff are not providing appropriate supervision to residents, the following was revealed: Complaint alleges an unknown staff was putting all residents to bed so staff could nap twice during the day. During the course of the investigation, interviews were conducted with four facility residents and two staff. Three of four residents interviewed denied having any knowledge of staff napping during the day and stated staff are available to provide care and assistance as needed. One of four residents was unable to confirm or deny allegation. Two of two staff interviewed denied having any knowledge of staff napping and not providing appropriate supervision to residents, and stated staff are able to take breaks during their shift, however, another staff is always available to continue providing care and supervision to residents. (Cont. LIC9099-C) Unsubstantiated Regarding allegation, Facility staff do not maintain passageways free of obstruction, the following was revealed: Complaint alleges passageways throughout the inside and outside of the facility were obstructed by multiple items, including a recliner. During the course of the investigation, LPA conducted a tour of the inside and outside of the facility and observed indoor and outdoor passageways were free of obstruction and any and all recliners were observed to be placed against the wall and away from passageways and doorways. Three of four residents interviewed denied passageways are not maintained free of obstruction and stated they are able to easily maneuver their walkers and wheelchairs throughout the facility. One of four residents was unable to confirm or deny allegation. Two of two staff interviewed denied having any knowledge of passageways being obstructed and stated passageways have been and continue to be free of obstruction. Regarding allegations, Facility staff not assisting resident with mobility as needed and Facility staff not assisting resident with using the restroom, the following was revealed: Complaint alleges staff did not assist Resident 1 (R1) with mobility and incontinence care as needed. R1 no longer resides at the facility. During the course of the investigation, three separate attempts were made to contact R1 by phone, however, they could not be reached to confirm or deny allegations. Three of four residents interviewed stated they are assisted with mobility and incontinence are as needed. One of four residents was unable to confirm or deny allegations. Two of two staff interviewed denied personally not assisting residents or having any knowledge of any other staff not assisting residents with mobility or incontinence care. Based on information gathered, the Department did not find sufficient evidence to support the allegations, “Facility staff are not providing appropriate supervision to residents, Facility staff do not maintain passageways free of obstruction, Facility staff not assisting resident with mobility as needed, and Facility staff not assisting resident with using the restroom”. 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 above allegations are Unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Aug 27, 2026 · control 22-AS-20240410161448

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Claudia Gutierrez conducted an unannounced Case Management inspection in conjunction with investigation into complaint number 22-AS-20240410161448. LPA met with Cris Delos Ama and explained the purpose of the inspection. During the course of the investigation, deficiencies were observed. Upon request of two resident files, required documentation was not available. Based on observations made during this inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Aug 27, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87506(a) · Plan of correction due date: Aug 28, 2026

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above as two resident files were not available for review, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 27, 2026

Plan of correction: Staff Delos Ama stated a separate, complete, and current record for each resident will be maintained and a copy provided to LPA via email by POC date.

Type of visit: POC

On today's date Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting a plan of correction visit for citation issued on January 23, 2026. Upon arrival LPA Vanegas was greeted and granted entry to the facility by the facility staff. LPA explained the purpose of the visit and Administrator (AD) Erleen Rinehart was notified via telephone and arrived shortly after to assist with the visit. AD was able to assist with the visit, and showed LPA proof of correction to the citation that was issued. LPA advised that citation will be cleared, and an exit interview was conducted with AD and a copy of this report and clearance letter was provided to the facility.the state’s words, verbatim · CDSS document, Feb 18, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purpose of conducting a required annual Inspection. LPA Vanegas was greeted and granted entry by care provider Markjaydar Romuar after explaining the purpose of the visit. Administrator (AD) Erleen B. Rinehart was present at the facility and administrator Erleen Rinehart was notified and came to the facility to assist with the inspection. LPA observed the Administrator Certificate is valid and up to date. It is set to expire on September 14, 2026. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents, of which one may be bedridden, with a hospice waiver for two. The facility is a one-story house with five resident bedrooms, one staff bedroom, two bathrooms, and an attached two car garage. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: LPA observed residents watching television in the living room and having breakfast. LPA observed five residents in care and two staff present. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall by the entryway. All resident bedrooms had the required furnishings such as a bed, chest of drawers, clean linens in good repair; meaning no strains or tares, and a reading lamp. LPA observed additional linens stored in storage area. LPA observed bathrooms were clean, free of any mildew and debris. They were equipped with grab bars, slip resistant floor mats, and a shower chair. LPA Vanegas observed all windows were appropriately screened. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 108.6 and 116.4 degrees Fahrenheit. LPA toured the outside of the facility and observed outdoor passageways were free of obstruction and hazards. LPA observed the backyard had a shaded sitting area with furniture for resident use. Continued on LIC809-C LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguishers were observed to be fully charged and up to date. Electric stove, microwave, washer, and dryer were all inspected and observed to be operable. The garage is used for storage and is kept locked and inaccessible to residents. Toxic chemicals, cleaning solutions, and disinfectants were observed to be locked and inaccessible to residents in care. LPA observed sharps to be locked away and inaccessible to residents in care. LPA observed the First Aid Kit had all the required components. Medication cabinet was observed to be locked and inaccessible to residents in care. LPA observed three medications total for R1, R2 and R3 were still listed on the centrally stored medication log with medication still present at the facility. Per LPA Review all medications are being administered per physicians order. LPA reviewed five resident records and two staff files. All resident files had required documents and were up to date. Staff records were not physically available for review, and administrator was not able to provide health records for staff; a Deficiency was cited on today’s date. Based on today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility. Furthermore a copy of this report will be mailed to the facility.the state’s words, verbatim · CDSS document, Jan 23, 2026

Allegation investigated: -Staff financially abused resident in care -Licensee allowed another individual to operate the facility

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to investigation the above identified complaint allegation. LPA arrived at facility and was greeted at the door and granted entry by staff. LPA spoke with Erleen Rinehart, Administrator and explained the purpose of the visit. During the course of the investigation, interviews were conducted, a tour of the physical plant of the facility was conducted, a review of resident records was completed and copy of pertinent documents obtained. It is alleged staff financially abused resident in care. Review of records revealed that resident in question passed away in October of 2024 and unable to interview. Interview with Administrator stated that resident in question had a POA and they never borrowed any monies from that resident. Administrator stated that they have never borrowed money from any of the residents at the facility. Interview with 1 of 1 resident Continued on LIC9099 Unsubstantiated stated that they have never heard any of the staff ask a resident to borrow money or take any money from the residents. Based on the conflicting information received from interviews, the lack of information regarding incident, and lack of corroborating witness to the incident, LPA is unable to determine if the alleged violation occurred as reported. It is alleged that licensee allowed another individual to operate the facility. Complaint details indicate that the Administrators husband is the licensee. Record review revealed that facility has been licensed since 2013 and reflect the licensee to be an entity with Administrator being part of the entity. Interview with 2 of 2 staff stated that they were hired by the Administrator and have not met any other individual to claim to be the owner or act as such. Interview with 2 of 2 resident stated that since they have moved in the facility they have only met the Administrator as the owner and they have not seen any other person at the facility indicating or acting as the owner of the facility. Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted with facility representative and a copy of this LIC9099 report was left at facility.the state’s words, verbatim · CDSS document, May 27, 2025 · control 22-AS-20250417154932

Type of visit: POC

On March 3, 2025 at 8:50 am, Licensing Program Analysts (LPAs) Nancy Guillen and Ruth Martinez conducted an unannounced Plan of Correction Visit to follow up on Plan of Corrections (POC) cited on January 22, 2025. LPAs were greeted and granted entry by caregiver Arcely Santos and explained the reason for the visit. Caregiver called Administrator (AD) Erleen Rinehart over the phone and notified AD of our visit. AD was unable to join, but assisted over the phone. LPAs observed the outside of the facility and reviewed staff files and made the following observations: Deficiencies cited under Title 22 Regulation California Codes 87412(a) pertaining to staff files has been cleared. LPAs observed records for two out of two staff and it was observed with the required components; however a Technical Violation was cited on today's date for Administrators file. Deficiencies cited under Title 22 Regulation California Codes 87307(d)(6) pertaining to outdoor obstructions has been cleared. LPAs observed the backyard was free of sharps and tripping hazards. An exit interview was conducted and a copy of this report, LIC 311F, LIC 9102TV and two POC letters were left at the facility.the state’s words, verbatim · CDSS document, Mar 3, 2025

Type of visit: Case Management - Deficiencies

On February 6, 2025 at 8:40 am, Licensing Program Analyst (LPA) Nancy Guillen conducted an unannounced Case Management Visit to follow up on Plan of Corrections (POC) cited on January 22, 2025. LPA was greeted and granted entry by caregiver Markjaydar Romuar and explained the reason for the visit. Caregiver called Administrator (AD) Erleen Rinehart over the phone and AD arrived shortly after. LPA and caregiver Arecely Santos toured the physical plant and made the following observations. Deficiencies cited under Title 22 Regulation California Codes 87309(a) and 87309(a)(1) pertaining to the disinfectants and cleaning solutions being inaccessible to residents and kept separate from food supplies has been cleared. Knives and kitchen supplies were observed in a separate cabinet in the kitchen away from toxins and no other poisonous substances were observed accessible to residents. Deficiencies cited under Title 22 Regulation California Codes 87465(h)(2) and 87465(h)(5) pertaining to medications being accessible to residents in an unlocked staff bedroom and medications being transferred into a separate container has been cleared. LPA observed the staff bedroom to be locked and no other medications were observed accessible at the facility. LPA observed no medications being transferred into separate containers. Deficiencies cited under Title 22 Regulation California Codes 1569.311 pertaining to an inoperable carbon monoxide detector has been cleared. Carbon monoxide was replaced and observed operational at the time of visit. Continued on LIC809C LPA was unable to clear deficiencies for CCR 87412(a) pertaining to missing staff records and CCR 1569.695(c) pertaining to the outdoors being free of obstructions and hazards. AD was unable to provide staff files. AD stated staff records were inaccessible in the garage. LPA informed AD staff records must be readily available for review. LPA also observed the outdoor passageways were not clear of obstruction and sharp gardening tools accessible to residents (photos taken). AD stated that she has been sick and unable to complete the mentioned deficiencies. AD requested an extension during the visit. LPA informed AD that extensions are to be requested before the POC due date.LPA extended the POC due date until February 21, 2025. LPA requested the outdoor hazards be removed during the visit and LPA confirmed the hazards were removed before leaving the facility. AD was informed a second visit will be conducted to verify Plan of corrections and to verify the backyard continues to be free of hazards. An exit interview was conducted and a copy of this report and three POC letters were left at the facility.the state’s words, verbatim · CDSS document, Feb 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nancy Guillen and Licensing Program Manager Sheila Santos made an unannounced visit for the purpose of conducting a required annual Inspection. LPAs were greeted and granted entry by care provider Markjaydar Romuar after explaining the purpose of the visit. Administrator (AD) Erleen B. Rinehart was present at the facility and assisted with the inspection. LPA observed the Administrator Certificate expired on September 14, 2024, however LPA verified the application was submitted and received on November 10,2024 for renewal. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents, of which one may be bedridden, with a hospice waiver for two. The facility is a one-story home with five resident bedrooms, one staff bedroom, two bathrooms, and an attached garage. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: LPA observed residents watching television in the living room and having breakfast. LPA observed four residents in care and three staff present. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall by the entryway. All resident bedrooms had the required furnishings however R3 had a half bed rail with no doctor’s order present at the time of visit; a Deficiency was cited on today’s date. LPA observed all resident beds had linens and blankets with additional linens stored in vacant bedrooms. LPA observed bathrooms were clean and equipped with grab bars and non skid floor mats. LPA observed all windows were appropriately screened. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 105.9 and 113.1 degrees Fahrenheit. LPA toured the outside of the facility and observed outdoor passageways were not free of obstruction and hazards; a Deficiency was cited on today’s date. LPA observed the backyard had a shaded sitting area with furniture for resident use. Continued on LIC809-C LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors were tested operational, however the carbon monoxide detector was not functioning; a Deficiency was cited on today’s date. Two fire extinguishers were observed to be fully charged and located in the kitchen and living room. Electric stove, microwave, washer, and dryer were all inspected and observed to be operable. The garage is used for storage and is kept locked and inaccessible to residents. Toxic chemicals, cleaning solutions, and disinfectants were not observed to be locked and inaccessible to residents in the R3 bedroom and unlocked staff bedroom; a Deficiency was cited on today’s date. LPA observed knives stored with bleach under the kitchen sink; a Deficiency was cited on today’s date. LPA observed the First Aid Kit had all the required components. Facility was unable to provide Disaster Drill Log at the time of visit. Medication cabinet was observed to be locked and centrally stored by the entryway. During medication review, medication was observed to be transferred to a separate container and prepared 24 hours in advance for all residents; a Deficiency was cited on today’s visit. LPA observed three medications total for R1, R2 and R3 were still listed on the centrally stored medication log with medication still present at the facility. AD was unable to provide updated documentation of discontinued medications; a Deficiency was cited on today’s date. LPA began review of the records. LPA reviewed four resident records. Two out of four residents did not have a Physicians Report at the facility; a Deficiency was cited on today’s date. Two out of four residents did not have an Admissions Agreement present at the facility (R1 and R3); a Deficiency was cited on today’s date. LPA was unable to review employee records. Staff records were not present at the facility for any of the staff members to review during the inspection; a Deficiency was cited on today’s date. Based on today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Jan 22, 2025

The state marks this report as 10 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

Allegation investigated: Facility is not providing sufficient hygiene items to residents in care. Facility is not ensuring the presence of available staff on call overnight. Resident's room is cluttered.

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of delivering findings for the investigation into the above identified complaint allegations. LPA met with Administrator (AD) Erleen B. Rinehart and explained the reason for today’s inspection. The investigation into the allegations that the facility is not providing sufficient hygiene items to residents in care, the facility is not ensuring the presence of available staff on call overnight, and a resident's room is cluttered revealed the following: During the course of the investigation, LPA inspected the facility, interviewed AD and residents, and obtained and reviewed copies of the resident roster, staff roster, and resident admission agreements. CONTINUED Unsubstantiated Regarding the allegation that the facility is not providing sufficient hygiene items to residents in care: it was alleged that the facility does not have a sufficient quantity of hygiene and toiletry supplies and residents have to provide and store their own supplies because the facility sometimes does not have enough supplies. LPA interviewed AD who denied the allegation, stating the facility supplies shampoo, soap, toothpaste, mouthwash, toilet paper, tissues, paper towels, etc., to residents, the facility maintains a large supply, and the facility has not run out. Regarding shampoo, AD stated that residents bring their own shampoo that meets their specific medical needs, but the facility still has its own supply of shampoo in case residents need it. LPA inspected the facility and observed sufficient supply of all hygiene supplies. LPA interviewed five out of five residents who stated that the facility supplies sufficient hygiene supplies, except two residents who stated they bring their own shampoo. However, LPA observed that the facility has a sufficient supply of its own shampoo. LPA reviewed four resident admission agreements and noted that basic personal care and hygiene supplies are to be provided by the facility but residents are responsible for providing other personal supplies of their choice. The information obtained is conflicting regarding whether shampoo needs to be provided by the facility and whether residents are being offered the facility’s shampoo. Regarding the allegation that the facility is not ensuring the presence of available staff on call overnight: it was alleged that there are no staff “on the clock” from 7PM to 7AM daily, although residents are provided call lights, and residents are unsure if staff will answer if residents call for help at night. LPA interviewed AD who stated that there are two staff on duty from about 6AM to 10PM daily and that between 10PM and 6AM the two live-in staff are sleeping at the facility and are not on duty, but are available should residents need care. Per AD, the residents rarely need care at night and if they do they have call buttons they can use to request help from staff, the call button sends a loud signal that wakes the staff up, and staff also check on all the residents if the staff get up to use the restroom at night. LPA tested the call system and noted that it triggers a loud bell throughout the house that sounds like a doorbell. AD stated that residents are advised at admission that if they need regular overnight care the facility is able to provide it, but would need to hire additional staff and charge the resident an additional fee to be able to do so. LPA reviewed four resident admission agreements and noted that overnight care is an extra charge and none of these four residents pay the extra charge for overnight care. Per AD, none of the residents at the facility pay the extra charge for overnight care. LPA interviewed five out of five residents and did not obtain information corroborating the allegation. The information obtained did not corroborate the allegation. Regarding the allegation that a resident's room is cluttered: it was alleged that a resident’s room is cluttered and that the resident does not like staff touching their stuff. LPA inspected inside and outside of the facility including six resident rooms, kitchen, and garage and observed the facility to be clean and organized and observed no health and safety issues. LPA observed one resident’s room to contain more possessions than the others, but the room was not cluttered and the resident’s possessions were organized onto shelving and other furniture and the floor was clear and unobstructed. Per AD, this resident likes to buy items via delivery ever day and keeps the items they purchase in their room, but AD has worked with the resident’s family to regularly clean and organize the resident’s possessions. The information obtained did not corroborate the allegation. Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Aug 19, 2024 · control 22-AS-20240618093048

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced visit for the Required 1 Year Inspection. LPA was greeted and granted entry by staff on duty. LPA met with facility administrator (AD) Erleen Rinehart and explained the purpose of today's visit. For today’s visit, LPA observed a total of 6 residents in care of which 0 are on hospice and 0 are bedridden and 4 staff members on duty. LPA observed the Administrator's Certificate for facility Erleen Rinehart which expires on 09/14/2024. The PUB475 "See Something, Say Something" poster was also observed to be posted in the entrance of the facility. LPA toured the interior and exterior portions of the facility with AD Rinehart. The facility is a single level structure and is licensed for 6 non-ambulatory residents, of which 2 may be on hospice and 1 may be bedridden. There are a total of 7 bedrooms, of which 6 are designated for residents, and 1 is designated for staff. LPA toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of 2 restrooms, of which were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature in restrooms were measured to be at 112.2 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen and in the living room. LPA observed the emergency disaster and evacuation plan which posted at the entrance of the facility. Facility had back-up emergency food and water supply, located in the garage. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA observed patio furniture under shading, the grounds were free of any hazards, and that there are 2 gates in the backyard, of which both were self-closing and self-latching. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. No citations were issued. An exit interview was conducted with AD Rinehart. A copy of this report was provided and explained.the state’s words, verbatim · CDSS document, Jan 30, 2024

Allegation investigated: Staff neglect led to resident suffering from a UTI Staff neglect led to resident suffering a severe bowel impaction Facility retained a resident with a higher level of care needs Staff did not report incident involving resident to their representative Staff did not seek medical attention for resident in a timely manner

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced visit to the facility to deliver the findings. LPA De Perio explained the purpose of today's visit, was greeted, and granted entry by facility administrator (AD) Erleen Rinehart. It was alleged that staff neglect led to resident suffering from a UTI. 5 interviews conducted with residents did not corroborate with the allegation by stating that the facility "always" assists each resident with tolieting needs and will give each resident fluids as a preventative measure from getting urinary infections. 2 interviews conducted with staff stated that the resident (R1) had a history of UTI, and had a UTI prior to admission into the facility. Per document review, it was observed that the facility contacted the hospice agency to obtain medical attention and antibiotics for R1 upon being diagnosed with a UTI. Unsubstantiated It was alleged that staff neglect led to resident suffering a serve bowl impaction. 5 interviews conducted with residents did not corroborate with the allegation by stating that staff are "attentive" and "patient" whenever a resident uses the restroom, and denied of staff neglect. Per document review, it was observed that the facility contacted hospice services to obtain medication to assist with R1's bowel impaction. Per document review, it was also observed that the facility completes a bathroom log and noted every time a resident uses the bathroom. It was alleged that facility retained a resident with a higher level of care needs. LPA conducted a total of 7 interviews which consisted of residents and staff, who all stated that prior to admission into the facility, each resident will have an intake assessment conducted by the facility administrator to determine the needs of each resident. It was also stated and observed that each resident undergoes a medical evaluation conducted by a physician to determine the level of care each resident needs. It was alleged that staff did not report incident involving resident to their representative. LPA conducted a total of 7 interviews which consisted of staff and residents. 5 resident interviews verified that the staff regularly communicates with their families to update them about the resident's status, along with any concerns. 2 interviews conducted with staff stated that the AD is the staff member who contacts the residents family via phone call, or in person if there were any incidents regarding the resident and care provided. LPA reviewed incident reports that the facility has completed, and observed that each incident report indicated that the resident's family was notified. It was alleged that staff did not seek medical attention for resident in a timely manner. LPA conducted a total of 7 interviews which consisted of staff and residents. The 7 interviews conducted did not corroborate with the allegation by stating that the staff does medical attention through consulting, communicating and coordinating with the resident's medical team and contacts the applicable individuals such as hospice, and paramedics if needed. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with AD Rinehart. A copy of this report was explained and provided.the state’s words, verbatim · CDSS document, Nov 7, 2023 · control 22-AS-20231017103145