complaint·February 18, 2025

(continued from 9099C) six (6) residents from Assisted Living and LPA also obtained staff and resident roster and reviewed and obtained two (2) residents' relevant medical documentation, and current training documentation. LPA asked for R6 Woods discharge paperwork and updated LIC602 to be emailed and proof of emergency disaster training for night shift staff. 10/15/2024 LPA interviewed a total of ten (10) staff including staff previously interviewed on earlier visit. LPA interviewed one (1) additional resident. LPA interviewed six (6) residents total and LPA obtained R6 file and 08/2024 and 10/2024 staff schedule. Allegation: Staff do not have adequate staffing to meet resident's needs. It is alleged that facility does not have enough staff to meet resident's needs during the overnight shift. LPA interviewed ten (10) staff, and seven (7) of ten (10) staff corroborated the allegation. Four (4) of six (6) residents interviewed confirmed concerns with staffing: one disclosed there is one staff on shift at night and when the resident called for help it took forty-five minutes for staff to respond, one stated there was a staffing problem, one stated staff are not capable of meeting residents needs and one stated staff are overworked which poses a potential risk to resident in care. Some residents stated staff are very good, but sometimes it takes a long time to assist them during the overnight shift. Some staff interviewed stated that they were stretched thin, and have to leave their assigned building to go to another building to administer medications, or assist residents without any staff during that time. Some staff stated the overnight security guard assists them with residents at times. S2 and S9 also corroborated the allegation and stated, at times, the security guard will assist staff with lifting residents who have fallen overnight. Review of staff schedule for the month of August 2024 shows, one (1) staff assigned to Birch Court, and one (1) staff assigned to Cedar Court each day. The schedule for August 2024 shows two (2) staff scheduled for Southwoods Memory Care each day, one (1) Med-Tech (MT), and one Resident Assistant (RA). The October 2024 schedule shows one (1) staff at Cedar Court building for the overnight shift, one (1) staff at Birch Court, and two (2) staff at Memory Care each night. (Continued on 9099C) (Continued on 9099C) Based on interviews which were conducted with staff, residents and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report was provided to the Supervisor Desiree Eudave along with the Appeals Rights.