complaint·January 10, 2025

On 9/13/24 CCLD staff were met with Emmanuel Ruiz, Licensee, and CCLD obtained the following documents: Client’s roster, Personnel roster, Staff schedule, Shower schedule or change schedule and (R#1-R#5) Medication Administration Records-(MARs) for 3 months. The investigation revealed the following: Regarding the allegation, “Facility does not ensure sufficient staffing to meet resident needs.”, it has been alleged that the facility does not have sufficient overnight staffing ratios. CCLD staff interviewed six (6) residents and six (6) staff. Interviews revealed that five (5) out of six (6) residents and three (3) out of six (6) staff have denied the allegation has taken place. Record reviews have revealed that on 09/01/24, 09/07/24, 09/14/24, 09/21/24, and 09/22/24 there was one (1) overnight staff between the hours of 10:00PM – 06:00AM, with one (1) staff living on-site and on-call. On 01/09/25 CCLD staff further interviewed staff seven (S7) who has confirmed NOC shift has been covered by at least one staff member and also confirmed one (1) staff is on call through the evening. Based on record reviews and interviews conducted, 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 that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated . Regarding the allegation, “Staff does not ensure residents are provided a comfortable environment.”, it has been alleged that, during the month of August, the facility internal temperature was too high for residents in care. Record reviews did not reveal any health related incidents related to the increase in temperature. CCLD staff interviewed six (6) residents and six (6) staff. Interviews revealed that five (5) out of six (6) residents and five (5) out of six (6) staff have denied the allegation has taken place. Based on record reviews and interviews conducted, 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 that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated . There has been zero deficiencies cited during today’s visit. An exit interview was held with Gloriella Jara, Administrator (S9), and a copy of this report has been provided.