complaint·May 7, 2021

Regarding the allegation: Untrained staff The investigation revealed the following: On 4/14/2021 LPA Cifuentes spoke with Executive Director Tom Rekowski. Mr. Rekowski told LPA that there had been a recent investigation at the facility and that it had been found that some of the staff had been scheduled for tasks they were not properly trained for. It was also found that some of the staff who were supposed to be doing on the job training under an experienced staff were competing tasks alone. When the investigation concluded, a series of training's was immediately scheduled by Mr. Rekowski to ensure the staff had the proper training. On 5/7/2021 LPA reviewed records received from facility. LPA received sign in sheets showing that 7 staff had received medication technician training. Some of those were caregivers who requested the training. LPA also received a breakdown of the training that staff received during the training. On 5/6/2021 LPA Cifuentes interviewed resident 1 -resident 8. LPA asked residents if they believed staff had enough training. 4 out of the 8 residents interviewed stated they believed staff needed more training. On 5/6/2021 LPA Cifuentes interviewed staff 1-6. When LPA asked staff if they believed they had enough training , 5 out of 6 staff stated they believed both they and their coworkers had received enough training. Based on LPA’s observation, interviews conducted, and records reviewed, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division (6) and chapter (8) are being cited on the attached LIC 9099D. A telephonic exit interview was conducted with Executive director Tom Rekowski and a hard copy was provided via email for signature. Regarding the allegation: Facility has insufficient staffing to meet the resident’s needs. The investigation revealed the following: On 4/14/2021 LPA Cifuentes spoke with Executive Director Tom Rekowski. Mr. Rekowski told LPA that facility staffing was based on residents needs and the number of residents currently living at the facility. Per Mr. Rekowski, the facility is at 68% capacity and most of the residents currently in care are independent, so there are not as many staff required to assist residents. Based on the number of resident and their needs, Mr. Rekowski felt that at this time there are sufficient staff. He also stated that as more residents entered the facility the staffing complement would be expanded. 5/7/2021 LPA Cifuentes reviewed records received from facility. Staff schedules for April and May show three to four caregivers on duty for the morning shift, depending on the day, two for the PM shift, and 1 caregiver for overnight. Each shift also had an assigned medical technician. On 5/6/2021 LPA Cifuentes interviewed resident 1-resident 8. LPA asked residents if they believed there was sufficient staffing at the facility to meet their needs. 6 out of the 8 residents interviewed stated there was enough staff at the facility to meet their needs. On 5/6/2021 LPA Cifuentes interviewed staff 1-6. When asked if they believed there were enough staff, 5 of the 6 staff members stated they believed there was enough staff for the amount of residents the facility currently has. Based on LPA’s observation, interviews conducted, and records reviewed, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated .