complaint·October 16, 2023

Continued from 9099 It was reported that staff is not assisting Resident # 1 (R1) with managed incontinence, as it was alleged that staff did not change R1 in a timely manner. Interviews and records review revealed that there were at least two (2) occasions when R1 was not changed in a timely manner. The facility administrator was notified by R1’s home health that R1 was observed to have wet sheets on 02/17/2020 and 02/18/2020. Interviews reflected that there was an evening where R1 in November 2021, where R1 was left in a soiled diaper for an extended period of time. Interviews also reflected that R1 preferred only certain caregivers assist and refused services until those caregivers were available. Moreover, it was revealed that R1 had an agreement that the caregiver’s of R1’s preference would assist with R1’s incontinent needs at 10:30am. R1 preferred staff to finish assisting other residents and complete their morning routine prior to assisting R1 due to liked staff to take their time assisting R1 which would last approximately 30 minutes to one (1) hour. Interviews conducted with other residents reflected that they had no concerns with incontinent care needs and staff routinely assisted residents every two (2) hours, or as needed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Exit interview conducted and copy of report issued. Continued from 9099 It was reported that staff is not able to meet the needs of R1, as it was alleged that there was not enough staff scheduled to assist R1 during the NOC shift. Interviews conducted and records reviewed reflected that during the time the complaint was received facility staffing was as follows: two (2) staff during the morning shift, two (2) staff during the afternoon/evening shift and one (1) staff during the NOC shift. Records further reflected that during the time of the complaint, R1 required assistance by two (2) caregivers. Therefore, based on information gathered there is sufficient evidence to determine that the facility did not have sufficient staffing to meet resident care needs during the NOC shift. Therefore, the above allegation is deemed Substantiated at this time. The following deficiencies were observed (See LIC 9099-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.