Complaint·July 21, 2021

Licensing Program Analyst (LPA) Katie Brown conducted the subsequent complaint investigation visit to the facility to obtain additional information. LPA met with Administrator, Jennifer Vasquez. During the course of this visit LPA interviewed facility Administrator and obtained and/or reviewed facility records which include 7/1/21 – 7/21/21 “Pendent Report” for all residents, the July 2021 staff schedule for Assisted Living (AL) and Memory Care (MC) as well as the schedule of “Agency" staffing used. The Department has investigated the complaint alleging: Staff did not respond to call buttons in a timely manner. Based on the interview and records review of the facility “Pendent Report” dated 7/5/21, it is determined that R1’s call button (or pendent) was activated and not “cleared” by facility staff for 38 minutes resulting in R1 requiring emergency medical care. The preponderance of evidence standard has been met; therefore the allegation has been found to be SUBSTANTIATED. See attached 9099-D for deficiency An exit interview has been conducted with Administrator, Jennifer Vasquez. Appeal Rights provided.