complaint·August 8, 2022

INVESTIGATION REVEALED THE FOLLOWING: Allegation: Staff leaves resident in soiled diapers The complainant alleges that facility residents are often left in soiled diapers. LPA spoke to facility administrator who stated caregivers have a list of the residents that need changes and as the changes are completed they ae marked off on list. No one has missed changes but there are times that residents refuse and ask staff to come by later. LPA spoke with residents (R1-R7) regarding the allegations. Of those interviewed 5 out of 7 stated staff did not leave them in soiled diapers. LPA spoke with staff (S1-S7) regarding allegations. Of the staff questioned, 7 out of 7 stated residents are not left in soiled diapers. Based on information gathered, the department did not find sufficient evidence to support allegation " Staff leaves resident in soiled diapers ” Allegation: Staff do not answer call bells timely The complainant alleges that when staff are called for assistance they take a long time to answer. LPA spoke to facility staff, who stated call system is answered by office manager, who then directs caregivers to assist residents as needed. If caregivers are busy with other residents, residents are asked to standby and that staff will be with them shortly. LPA interviewed residents (R1-R7) regarding allegation. Of the residents interviewed 5 out of 7 stated call button was answered promptly. Some residents added that the time it took caregivers to get to room varied, sometimes it was immediate, sometimes it took longer. Of the staff interviewed, 7 out of 7 stated the facility staff answered call button timely, but caregiver response to room varied depending on tasks already being completed. Based on information gathered, the department did not find sufficient evidence to support allegation “ Staff do not answer call bells timely Allegation: Staff did not meet resident’s hygiene needs The complainant alleges that staff do not assist residents with changing and grooming. LPA spoke to administrator who stated residents are assisted with changing and grooming daily unless they request to stay in bed. LPA spoke with residents (R1-R7) regarding the allegations. Of those interviewed 6 out of 7 stated staff were assisting with bathing and grooming if they needed assistance. LPA interviewed staff (S1-S7) regarding allegation. 7 out of 7 staff stated that residents are assisted with changing and grooming with some staff adding that some residents may request to be left in bed if they are tired. Based on information gathered, the department did not find sufficient evidence to support allegation " Staff did not meet residents hygiene needs.” Allegation: Staff left resident in bed The complainant alleges staff leave residents in bed all day instead of putting them in wheelchair. LPA spoke to administrator Susana Fuentes who stated residents are not left in bed by staff unless they request to be left in bed. Administrator added that some residents will request to be moved from bed later and staff will assist. There is an occasional delay if the resident requires a two person assist or staff are occupied with other residents. LPA spoke with residents (R1-R7) regarding the allegations. Of those interviewed 5 out of 7 stated they were not left in bed by staff. LPA interviewed staff (S1-S7) regarding allegation. 7 out of 7 staff stated that residents are not left in bed all day. Based on information gathered, the department did not find sufficient evidence to support allegation " Staff left resident in bed.” Allegation: Staff did not provide lunch to resident. The complainant alleges residents are not provided lunch by staff. LPA spoke with administrator, who stated residents are provided 3 meals and snacks. If a resident is not in dining room, they will be called by staff. Residents will at times go out to eat and let staff know they will not be attending meals LPA spoke with residents (R1-R7) regarding the allegations. Of those interviewed 6 out of 7 stated facility did not miss any of their meals with some adding that they sometimes notified facility staff if they wanted to skip a meal. LPA interviewed staff (S1-S7) regarding allegation. 7 out of 7 staff stated residents are provided all meals. Based on information gathered, the department did not find sufficient evidence to support allegation " Staff did not provide lunch to resident.” Allegation: Staff is rough with resident. The complainant alleges staff handle residents roughly when changing them. LPA spoke with staff who stated they are not rough with residents, but that some residents can be rough with staff members. LPA spoke with residents (R1-R7) regarding the allegations. Of those interviewed 6 out of 7 stated staff were not rough with them. LPA interviewed staff S1-S7 regarding allegation. 7 out of 7 staff stated that staff are not rough with residents when assisting them. Based on information gathered, the department did not find sufficient evidence to support allegation " Staff is rough with resident.” Allegation: Staff do not assist resident The complainant alleges staff do not help residents. Per interview with administrator, all residents receive assistance from staff. Administrator added that sometimes residents will be agitated and, in those cases, staff will let them know they will give them time and will come back after a few minutes. Facility will change staff when this happens, as a different face can assist the resident in becoming calmer. LPA spoke with residents (R1-R7) regarding the allegation. Of those interviewed 6 out of 7 staff assisted them when they requested assistance. LPA interviewed staff (S1-S7) regarding allegation. 7 out of 7 staff stated they assisted residents. Based on information gathered, the department did not find sufficient evidence to support allegation " Staff do not assist resident Allegation: Facility does not have sufficient staff to meet residents needs The complainant alleges facility has a staffing shortage. LPA spoke with facility administrator, who stated they had enough staff on all shifts. LPA reviewed staff schedule LPA spoke with residents (R1-R7) regarding the allegations. Of those interviewed 5 out of 7 stated they believed facility needed more staff. LPA interviewed staff (S1-S7) regarding allegation. Of those interviewed, 4 out of 7 believe facility has enough staff. Based on information gathered, the department did not find sufficient evidence to support allegation " F acility does not have sufficient staff to meet residents needs” The Department’s investigation consisted of an inspection of the facility, observation, analysis of facility records and interviews conducted and found no evidence to support the allegations: " Staff leaves resident in soiled diapers, “Staff do not answer call bells timely,” “Staff did not meet residents hygiene needs,” “Staff left resident in bed,” “Staff did not provide lunch to resident,” “Staff is rough with resident,” “Staff do not assist resident,” “Facility does not have sufficient staff to meet residents needs.” 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 . An exit interview was conducted with Susie Fuentes and a hard copy was provided.