complaint·February 13, 2024

After talking to staff and reviewing records LPAs got to the understanding that the staff is only communicating verbally about changes on the residents between them and to the Administrator. No written reports nor notations are being logged or recorded between outside companies and the facility. For Resident #1 (R1) most recent needs and service appraisal was dated on 06/01/2021. Administrator stated that there was a change of condition by R1 being on and off hospice and home health service however no information nor paperwork was found in R1's folder. Resident #2 (R2) admitted to the facility prior to change of ownership file didn't have a service appraisal.Based on interviews and records reviewed, LPAs have determined there is sufficient evidence to substantiate the allegations of staff not properly observed and respond to resident's change of condition. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiency is cited (refer to LIC 9099-D.) Administrator was informed that failure to correct the deficiency may result in civil penalties. Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided. The complaint alleges that there was Insufficient staffing to meet the needs of the residents in care. During today's visit there was one (1) caregiver staff present and on duty for 1 (one) resident in care. Staff schedule dated 02/05-02/11 indicates 1 (one) staff present and on duty 07:00AM-11:00PM. Administrator indicated this schedule remains the same for the current week and a different staff is on duty during the night shift. Review of personnel report dated 09/20/2023 indicates two (2) residents in care and two (2) staff on duty during working hours. Staff indicated they are able to meet resident needs and they respond timely at the residents request. LPAs attempted to interview resident, however the resident was sleeping. Based on interview and record review, although the allegation may be valid, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation "insufficient staffing" is deemed UNSUBSTANTIATED at this time. No citations issued related to this allegation. Exit interview conducted. A copy of the report was provided.