Follow-up·April 16, 2024

On 4/16/2024 at 12:50PM Licensing Program Analyst (LPA) A Gomez conducted a case management as a result of information received during a complaint visit. LPA spoke with Administrator, Merdith Castro and informed them of the nature of the Case Management. During interviews for a complaint received 4/11/2024 R1 stated that on 4/15/2024 there was not staff on schedule available to assist them with going to sleep from 9:00pm to 11:00pm. R1 stated that an off duty staff was at the facility cooking themself dinner and that when R1 asked for assistance the staff told them that they would need to wait for the next caregiver to be on duty. LPA reviewed the staff schedule and spoke with S1 and S2 over the phone who both stated that there was no gap in the schedule. The facility does not have a sign in sheet for staff. Administrator also provided LPA with a copy of the staff schedule that showed full coverage for the night. LPA was unable to determine if there was a gap in coverage for 4/15/2024. LPA went over the importance of having staff readily available and discussed the facility possibly implementing a sign in and out sheet for staff on duty. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.