complaint·July 25, 2024

Allegation: Uncleared staff working in the facility. The details of the complaint reported that staff employed at this facility do not have background clearance and are not cleared to work. The complainant stated there are undocumented staff that are working at the facility without US Citizenship. LPA Richard reviewed and audited personnel records for the staff #1-#4 (S1-S4), revealing that 4 out of 4 staff members have a Community Care Licensing (CCL) Criminal Background Clearance on file at the facility. On 07/23/2024, LPA ran a Facility Personnel Report Summary LIS-536 or California Department of Social Services (CDSS). The report showed all the staff were cleared. LPA interviewed the licensee (S1). Licensee stated that all the staff she hired were from referral; however, she ensured all the staff criminal backgrounds were done entirely before hiring them. Based on the information gathered, the allegation listed above is not supported. Based on record reviews and interviews, there is insufficient evidence to support the allegation that uncleared staff working at the facility. Although the allegation may have happened or is valid, there’s not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Continued LIC9099-C page 2 Allegation: Unqualified staff providing care to the residents. The details of the complaint stated that unqualified staff are providing care to the residents. The complainant reported that the staff doesn't know CPR. Interviews conducted with three staff (S1-S3) members revealed that 3 out of 3 staff members have completed all the required medical training to help take care of the residents. The records reviewed on 07/25/2024 showed that the staff had a copy of the CPR/AED First Aid Certificate and forty hours of training on file. LPA verified training certificates and training logs were up to date. Interviews with two residents #1-#2 (R1-R2) 2 out of 2 stated that they do not have any concerns of the care or supervision the staff provided to them. Due to their health condition, (R3-R4) were not interviewed. Based on the gathered information, the allegation mentioned above is not supported. Based on interviewed and records reviewed, there is insufficient evidence to support the allegation that unqualified staff providing care to residents. 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 allegation is Unsubstantiated. An exit interview conducted with Socorro Trinidad and copy of the report provided.