complaint·April 12, 2024

Allegation: Staff did not ensure personnel records are properly maintained Investigation Finding: Substantiated During investigation, LPA observed staff (S1, S2) assisting residents (R1, R2, R3, R4, R5, R6) with activities of daily living (medications, meals, toileting, personal hygiene, bathing, dressing). Staff (S1, S2) confirmed with LPA that they have not completed their fingerprint clearances, 40 hours of job training/shadowing, first aid/CPR certifications prior to working at the facility in late March/early April 2024. Review of Guardian Portal on 04/12/24 showed both staff are not fingerprint cleared and associated to the facility. LPA observed LC instructed staff (S1, S2) to stop working until fingerprint clearances, facility associations and job trainings/first aid/CPR certifications are completed. LC stated current fingerprint cleared/associated and trained staff (LC, S3) will work at the facility until the other staff's (S1, S2) fingerprint clearances/associations and job trainings/certifcations have been completed prior to working at the facility. Based on the department’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that staff did not ensure personnel records are properly maintained was found to be substantiated. Immediate civil penalty of $1,000 assessed during visit for failure to complete fingerprint clearances and facility association requirements for staff (S1, S2). Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due dates and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted, appeal rights and copy of report provided.