complaint·July 21, 2021

5 residents reported they have missed as needed medication or pain medication or the medication has been delivered to residents late. Residents reported waiting 1 to 2 hours sometimes to receive the medication. Other residents reported pushing the call system in their room and waiting sometimes an hour for staff to respond. Staff members interviewed included Licensed Vocational Nurses (LVNs), Med Techs., caregivers, kitchen staff, maintenance and housekeeping. 8 out of the 16 staff interviewed reported the facility is short staffed. It was reported the facility is short Med Techs, housekeepers, maintenance and kitchen staff. Staff report this has caused delays in meeting residents needs such as but not limited to medication management, residents not receiving required treatments, resident room cleaning, responding to resident call lights, maintenance of the building and kitchen staff that are not cooks having to cook for residents. Many staff reported often working overtime and working double shifts multiple times a week. This was described as "dangerous" because it can cause Med Techs and other staff to make a mistake if they are over worked. Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. Exit interview held. A copy of the report and appeal rights were provided. Staff interviewed denied the allegation. Staff have no knowledge of a resident laying on the floor for a long time after a fall. There were no witnesses to the alleged incident. Therefore, this allegation is unsubstantiated. Allegation: Facility intercoms are in disrepair. Intercom system was tested on 6/19/21 and 7/2/21. The intercom was observed to be operating properly. Residents interviewed indicated the intercom system works, but the issue is staff do not always respond promptly. Staff interviewed indicated there is no issue with the intercom system. Maintenance staff indicated the intercom system has not been a problem. Based on the information obtained, the allegation is unsubstantiated. Allegation: Resident(s) bathing needs are not being met. Residents interviewed did not corroborate the allegation. Residents did not report any issues with the bathing schedule. Staff interviewed deny the allegation. Staff indicated there are sufficient bath aides to assist with bathing residents. Also many residents do not need assistance with showering. Based on information obtained, the allegation is unsubstantiated. Allegation: Administrator is not communicating with the resident representative to discuss the resident's needs. Residents interviewed did not corroborate the allegation. Residents have not experienced this issue. Staff interviewed had no knowledge of this issue. Staff has not received any complaints regarding this allegation. Based on information obtained, the allegation is unsubstantiated. 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 allegations are unsubstantiated. Exit interview held. A copy of the report was provided.