complaint·November 8, 2023

The investigation revealed the following: Regarding the allegation: "Facility staff did not respond to residents' call buttons in a timely manner" It has been alleged that call notifications from the resident call buttons have gone unanswered or have taken an hour or longer for a response. On 11/08/23 LPA interviewed 9 residents and asked about their use of the call button and the general response wait time. During the interviews, seven (7) out of nine (9) residents disagreed with the allegation. LPA observed two (2) out of 9 call buttons in disrepair. A technical violation has been cited, see LIC9102TV. LPA interviewed 5 staff and all 5 staff have provided an adequate response as how they receive and respond to residents' call buttons and what alternate actions occur during an emergency. Based on the information collected, an inspection of the facility, observation, and interviews conducted, LPA found no evidence to support the allegation for this complaint. 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 Unsubstantiated . Regarding the allegation: " Licensee does not ensure facility is adequately staffed at night to meet residents’ needs." It has been alleged that a resident had suffered from an unanswered call light, overnight. On 11/08/23 LPA interviewed 9 residents and asked about their experience with overnight staff. Six (6) out of 9 residents have denied the allegation. LPA interviewed three (3) staff regarding the allegation and all 3 staff have denied the allegation. LPA reviewed records provided, including facility staff roster and NOC shift for 11/08/23 - 11/09/23. During interviews with S1, S2 and PM shift staff Anthony DeLeon (S4), all three (3) staff have provided an adequate response at how NOC shift is properly covered and how the facility would respond if there were to be a deficiency of California Code of Regulations 87415(a)(3). Based on the information collected, an inspection of the facility, observation, record reviews, and interviews conducted, the Department found no evidence to support the allegation for this complaint. 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 Unsubstantiated . An exit interview was held with Assistant Administrator, Peggy Clark, and a copy of this report was provided.