complaint·January 6, 2023

Allegation: Staff do not answer residents call pendent in a timely manner During the course of investigation, based on staff interview the facility’s response time to call lights is between 5-10 minutes, if there are multiple calls during the same time, the staff will communicate with each other to check each resident. However, records review revealed that R1 & R2’s pendant call for the month of February 2021 and March 2021, there were 21 calls that staff responded for more than 30 minutes. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties . Exit interview conducted. Appeal Rights and a copy of this report provided. Allegation: Insufficient staff to meet the needs of the residents LPA reviewed staff schedule for the facility, facility has Med Tech, support staff and other agency staffing available on schedule. Facility had sufficient staffing for all three (3) shifts. Residents were observed calm and comfortable in their surroundings. LPA conducted interview with residents and residents reported that they are happy living at the facility and had no issues around staff availability to meet their needs. R1 & R2 reported that facility staff attend to their needs. Allegation: Staff are not dispensing medication timely Based on records review, medication administration records (MAR) revealed that staff gave R1’s medication according to physician’s order. R1’s MAR revealed there was no miss medications and discontinued medication was stopped per doctor’s order. LPA attempted to interview R1 regarding this allegation however R1 is not able to answer LPA’s questions. Allegation: Staff do not meeting resident’s incontinence needs During the course of investigation, LPA attempted to interview R1 regarding this allegation however R1 is not able to answer LPA’s questions. LPA then interviewed R2, based on interview with R2, she stated that staff change and cleans R1 at least 6x a day. Staff are nice and takes care of R1 and R2. Interview with staff revealed that residents who needs incontinence care is checked 3-4 times a day. Interviews with staff indicated that residents are checked at least 3-4 times throughout the day for incontinence care/toileting needs. However, when residents have a bowel movement or an accident, staff will change and clean residents right away. Allegation: Staff does not treat residents with dignity During the course of investigation, LPA interviewed staff and residents. Based on residents’ interview, they denied any unequal treatment from staff. Staff stated that all residents are treated equally according to each resident need since each resident have unique needs. Based on staff interview, staff denied witnessing any staff conducting any unacceptable behavior to residents in care. Allegation: Staff does not provide meals to residents timely manner During the course of investigation, LPA conducted interview with staff and residents. Based on interview with R2, during facility covid lock down, the staff delivers meals in each residents’ room. R2 denied staff delivering meals late, R2 stated that meals are delivered during these times; breakfast 7:30AM- 8:00AM, lunch 11:00 AM-11:30AM and dinner 4:30 PM- 5:00PM. 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 is UNSUBSTANTIATED. Exit interview conducted. A copy of this report provided.