complaint·May 3, 2023

Continued LIC9099-C page 2 Allegation: Licensee did not ensure the facility was appropriately staffed with personnel qualifications adequate to perform assigned tasks S1-S3 interviewed stated that they have the required knowledge for providing care and supervision needed to the residents. S1-S3 stated that they are given on-the-job training and have the appropriate experience which provides knowledge and skill to perform their jobs safely and effectively. S1-S3 stated that they are complying with Title 22 Regulations. S1-S3 stated the facility is fully staffed. S1-S3 stated residents are never left unattended. S1-S3 stated staff is available 24 hours a day 7 days a week 365 days a year to assist residents in care with their daily needs. S1-S3 stated the facility cannot discriminate against employees who is in a wheelchair, based on age, etc. S1-S3 stated the facility has appropriate staffed with personnel qualifications adequately to perform assigned tasks. S1-S3 denied the allegation. Investigation revealed the following: Interviews were conducted with staff members (1-3) S1-S3. Their feedback consistently reflected that the facility maintains a commendable staffing level and that personnel possess qualifications that align effectively with their designated responsibilities. Residents (1-4) R1- R4, are nonverbal, inability to interview residents, posed a challenge in gathering their perspectives. The facility exhibited a state of full staffing during the site visit. S1-S3 asserts that residents are consistently attended to and not left without supervision. This observation was reinforced by the active engagement witnessed between staff and residents throughout the premises. S1-S3 attested to the ongoing nature of staff training, highlighting the competence of the personnel to fulfill the diverse requirements of individual residents. S1-S3 affirmed that on the date of September 9th, 2022, they did not encounter instances of repeated knocking at the facility's entrance, nor did they observe anyone peering through the front door or windows. The living room was identified as a shared space for television viewing by residents, as confirmed by S1-S3. S1-S3 underscored the facility's inclusive ethos by mentioning the presence of a wheelchair-bound staff member, who plays an active role in aiding residents with placement-related needs. S1-S3 affirm their affiliation with the facility and their clearance status, acquired through fingerprinting procedures further attest to their suitability for roles within the facility. See continued LIC9099-C page 2 Continued LIC9099-C page 3 LPA Bunker observed the facility personnel report summary of individuals associated with the facility, and verification of fingerprint clearance was established for all staff affiliated with the facility. S1-S3 reiterated their commitment to furnishing adequate care and vigilant supervision to residents. S1-S3 denied the allegation. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. There were no deficiencies cited. Exit interview conducted.