complaint·November 5, 2021

Investigation Allegation: Staff is short staffed The investigation revealed, per LPA interviews, with (5) staff members, and (5) residents from the Regency Palms Long Beach facility and review of facility documents, that the Regency Palms Long Beach facility is not short staffed. The investigation revealed, per LPA interviews, with (5) staff members, and (5) residents from the Regency Palms Long Beach facility and review of facility documents, that the Regency Palms Long Beach is not short staffed. LPA interviewed S1, and the LPA was informed that the facility has two caregivers, assigned to each floor, for day and night shifts, (except 2, 6 and 7 floors that have 1 assigned caregiver), and one caregiver during NOC work shift assigned to each floor. Also, S1 stated that the Med-Tech on duty, with assigned caregivers, also supervises the caregivers, and makes sure that the residents are cared for. Furthermore, the caregivers sign off and endorse to the Med-Tech, once their work shift is completed, and verify that all their residents have been checked, and do not need assistance. S1 also stated that the management team do rounds in the facility, and check the residents, as does the Med-Tech, conduct rounds to verify that the resident’s needs are met, and other concerns do not need to be addressed. LPA interviewed 5 staff members, and 5 of 5 staff members informed the LPA, that staff members check on the residents, to ensure that there are no issues, and also 5 of 5 staff members informed the LPA that there is a staff endorsement process, at the end of a work shift, confirming that all residents have been checked, and that there are no issues with the residents. In addition, 5 of 5 staff members informed the LPA, that there is enough staff members to cover, the resident needs, on every work shift, and also that the Med-Tech and managers, support the caregivers if there is a need. The LPA interviewed 5 residents, and 4 of 5 residents informed, the LPA, that the caregivers assist them when needed, and also 4 of 5 residents informed the LPA, that the caregivers are available when needed. Based on information gathered, LPA did not find sufficient evidence to support allegation " Facility is short staffed ”. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted with Carla Mariano, Administrator, and a hard copy of a LIC 9099 was provided. Based on LPA observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations 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 Carla Mariano, Administrator and a hard copy of a LIC 9099 and LIC 9099D was provided. Investigation A llegation: Resident sustained an injury due to an unwitnessed fall. The investigation revealed, per LPA interviews, with (5) staff members, and (5) residents from the Regency Palms Long Beach facility, and review of facility documents, that a Regency Palms Long Beach facility resident sustained an injury due to an unwitnessed fall . LPA interviewed S1, and the LPA was informed by S1, that R1 had sustained an injury on 10/27/21, at approximately 3:15 am, as a result, of a fall in R1’s room. R1 was immediately transported to the hospital, for medical follow up, and returned to the facility on the same day. S1 stated that R1 has bruises on the face and neck, and also a hematoma on the forehead. S1 informed LPA that R1 states that is not in pain or discomfort, and has returned to normal activities. S1 submitted to licensing incident report regarding the event prior to 7 day reporting deadline. On 11/5/21, at 9:30 am, LPA was informed by S1, that R1 fell in R1’s room, and sustained face and neck bruising and a hematoma on the forehead. Based on information gathered, LPA did find sufficient evidence to support allegation " Resident sustained an injury due to an unwitnessed fall ”. Allegation: Resident's call button is not accessible The investigation revealed, per LPA interviews, with (5) staff members, and (5) residents from the Regency Palms Long Beach facility, and review of facility documents, that R1’s call button is not accessible. In addition, S1 and LPA, inspected the facility resident’s room and bathroom call button boxes. S1 and LPA observed, 11 Call button boxes, with missing pull cords. In addition, the LPA pulled the cord on Room 401, and observed that a caregiver responded, to the call, in 5 minutes. On 11/5/21, between 10:20 a.m. – 11:40 a.m., LPA observed that 11 resident call box stations did not have an attached pull cord to activate the call box. Based on information gathered, LPA did find sufficient evidence to support the allegation " Resident's call button is not accessible ”. Report continued on LIC 9099C