complaint·July 14, 2023

Allegation: Licensee did not report resident's change of condition to the responsible party timely. The allegation alleges on 11/15/2021, Resident #1's (R1) leg was red and needed medical attention and R1's Responsible Party (RP) was not notified until 11/19/2021. Record review revealed on 11/16/2021, the physician of R1 was faxed notifying them of insect bites on R1’s leg that were getting bigger and requesting advice. On 11/19/2021, the physician responded via fax requesting photos or to schedule a visit. Email correspondences between the RP and facility nurse Staff #2 (S2) revealed on 11/19/2021, S2 emailed RP requesting RP to take R1 to the urgent care due to R1’s physician not responding back to them. Based on the information obtained, there is sufficient evidence to support R1’s Responsible Party was not notified timely of R1’s change of condition. Therefore, the allegation of licensee did not report resident's change of condition to the responsible party timely is deemed substantiated at this time. Allegation: Insufficient staffing The allegation alleges there is only one med tech on staff on shift which is not sufficient. Review of the staff schedule from 11/14/2021 through 12/11/2021 revealed frequently there is only one med tech on the AM and PM shift instead of two med techs for each shift like on the other days. Interviews with four med techs who worked around the time the complaint was filed, revealed having only one med tech on shift in assisted living is not sufficient and as a result medications are being delivered late to the residents. A review of the current staff schedule revealed there is one med tech and one half day med tech during the AM and PM shift. The half day med tech works during peak hours from 6:00 AM-10:00 AM and 4:00 PM – 8:00 PM. Interviews today revealed staff are able to meet the resident’s needs under the current schedule. Based on the information obtained, there is sufficient evidence to support the allegation of insufficient staffing occurred at the time the complaint was filed. Therefore, the allegation is deemed substantiated at this time. The following deficiencies were cited from the CA Code of Regulations. See LIC 9099-D. Exit interview and report reviewed with Business Office Manager Michelle Greenberg. A copy of the report and appeal rights provided. During the interview with S1, S1 denied ever yelling or being rude to R1 and denied ever slamming a door in R1’s face. Based on the information obtained, there is insufficient evidence to support the allegation of staff are verbally abusive to residents occurred. Therefore, the allegation is deemed unsubstantiated at this time. Exit interview and report reviewed with Michelle Greenberg. A copy of the report and appeal rights provided.