complaint·November 22, 2021

Continued from LIC 9099... On 01/22/2020, LPA Perera conducted additional interviews with facility residents between 10:40am to 12:18pm. In addition, LPA conducted a brief file review at 1:35pm and obtained pertinent documentation. On 10/05/2020, LPA Perera conducted interviews with random families of residents. On 10/09/2020, LPA Smith conducted interviews with random facility staff. On 08/19/2021, between 9:15am - 10:35am, LPA Guzman-Chavez conducted interviews with random residents and staff at the facility. On 09/10/2021 and 09/29/2021, LPA Guzman-Chavez conducted additional interviews with facility staff. Information gathered during the course of the investigation revealed that on 09/06/2019, at approximately 1:30pm, R1 sustained a fail in the dining area. It was revealed that R1 was walking and R1’s cane got stuck on the chair and R1 fell. Interviews conducted further revealed that there is sufficient space between the tables and chairs for residents to walk through. However, sometimes residents try to walk through crowded areas causing tripping hazards. Interviews further revealed that staff are mindful in moving chairs for residents when needed. Based on information gathered, the department does not have sufficient evidence to determine that staff neglected R1 by failing to properly place the dining chairs causing R1 to trip and fall. Therefore, the above allegation “Facility staff neglected Resident #1 (R1)” is deemed unsubstantiated at this time. Information gathered during the course of the investigation revealed that there were no concerns of insufficient staffing in the dining area. A review of facility time sheets revealed that during the month of September 2019, the facility had between four (4) to six (6) dinning staff during the three shifts (morning, afternoon, and night). Based on information gathered, the department does not have sufficient evidence to determine that the facility does not have sufficient staffing in the dining area. Therefore, the above allegation “insufficient staffing” is deemed unsubstantiated at this time. Exit interview conducted/ No citations issued/ A copy of report provided.