complaint·June 22, 2023

Interviews revealed that each caregiver is assisting 3-4 residents with showers daily, 5-10 residents need assistance dressing and general grooming, helping residents in and out of wheelchairs, 5-10 resident who need assistance while using the restroom or with incontinent care and 5 residents who need escorted to the dining room for meals. Based on the information provided by the caregivers, each of them is spending at least 2 hrs to provide assistance to Residents using the bathroom (10-15min per person, 4 times per shift), 1.5-2 hours to provide escort assistance to 3-5 residents, (5-10min per resident, 3 times a day to and from meal service). Each caregiver provides 3-4 shower assistance approximately 25-30 minutes. Care givers are assisting 5-7 residents with dressing and general grooming 1.5-2 hours. After assisting residents, with their activities of daily living, some caregivers are taking out the trash, and making beds, which takes at list 40-50min. Based on interviews, observation, review needs and services plan of current population and staff schedule, it was concluded that within 8-hour shift staff is mainly assisting residents requiring help with daily needs, and are not always able to assist other residents when needed. Overall investigation revealed that additional qualified personnel is needed, to assist overall population with all their activities of daily living. The Executive Director and staff have indicated that staff scheduling have been changed around to add assistance in peak hours. The information and evidence obtained during this investigation, is sufficient enough to support the allegation. Therefore, the allegation is SUBSTANTIATED at this time. Per California Code of Regulation, Title 22, Division 6, Chapter 8, following citations were issued and recorded on LIC9099D