Complaint·February 6, 2025

Allegation: Unqualified staff is providing care and supervision - The Reporting Party (RP) Alleges that Staff#1 (S1) provides caregiver services to residents in the facilities memory care unit, but is not qualified. LPA interview with Administrator revealed the following: S1 was initially hired to work as a facility caregiver, but currently functions as a memory care unit activities assistant "programmer". (i.e. creating the resident activities calendar, scheduling/coordination of "senior scenic walks", arts and crafts, stimulation activities, trivia game activities, etc.) LPA interview with Staff#2 (S2) and Staff#3 (S3) revealed the following: S1's primary role is that of a activities "programmer". In addition, S1 does, at times, help caregiver staff as a "floater" assisting residents, and other caregiver staff when necessary. LPA interviews which three (3) memory care residents reveals the following: three (3) out of three (3) residents state being familiar with S1 and confirm that S1 has provided satisfactory staff care and assistance. However, upon review of S1's employee file, and corroborative statements from S2, It was found that S1's previous supervisor (no longer associated with the facility) failed to provide documented proof that S1 completed all "in-service" staff trainings. Thus, this allegation has been substantiated. Exit interview conducted, and report provided. Deficiencies cited on LIC9099D.