complaint·February 13, 2023

Allegation 1: Facility personnel are always not sufficient in numbers to prevent residents from falling. On 02/07/2023 LPA Calderon attempted to interview W1 for complaint. Due to W1 being anonymous there was no interview possible. On 02/13/2023 LPA Calderon interviewed S1-S7 who state that the resident to staff ratio is 8 to 1 and that there are 2 staff floaters and 2 staff med-tecks to support the care staff with what is needed, and no resident has fallen due to staffing issues. On 02/13/2023 LPA Calderon attempted to interview R1-R6 due to residents having mental health issues LPA Calderon was not able to ask any questions regarding the allegation. On 02/13/2023 LPA Calderon reviewed the staff roster and LIC 500, which support staffing per day and night shift. Allegation 2: Facility personnel are always not sufficient in numbers to answer resident call button in a timely manner. On 02/07/2023 LPA Calderon attempted to interview W1 for complaint. Due to W1 being anonymous LPA Calderon was not able to ask any questions. On 02/13/2023 LPA Calderon interviewed S1-S7 for complaint. S1-S7 state that the day shift and night shift are different because most residents are sleeping. Staff state that there is a 8 to 1 ratio and 2 floaters and 2 med-tecks that work each day and night shift and any time a call button is pushed staff answers. Staff states that most time the button is pushed at night and not daytime as most residents are out of bed. On 02/13/2023 LPA Calderon attempted to interview R1-R6 but due to residents having mental health issues residents could not answer LPA Calderon questions. On 02/13/2023 LPA Calderon reviewed staff roster and LIC500, roster supports day and night staff and supports resident to staff ratio of 8 to 1. Allegation 3: Facility personnel are always not sufficient in numbers to meet resident needs for incontinence care. On 02/07/2023 LPA Calderon attempted to interview W1 for complaint. Due to W1 being anonymous LPA Calderon could not ask a question regarding the allegation. On 02/13/2023 LPA Calderon interviewed S1-S7 for complaint. S1-S7 state that some of the residents need incontinence care. Staff state that most residents diaper can be changed by one person. Staff state that there are 2 staff floaters and 2 staff med-tecks working every shift. staff state that if they need help, they just call, and help is there to help with resident care or other resident care. On 02/13/2023 LPA Calderon attempted to interview R1-R6 for complaint, but due to residents having mental health issues LPA Calderon was not able to ask any question regarding the allegation. On 02/13/2023 LPA Calderon reviewed staff roster and LIC500 which supports staff floaters and 2 med-tecks that work the am and pm shifts. Allegation 4: Facility personnel are always not sufficient in numbers to meet resident needs for showering. On 02/07/2023 LPA Calderon attempted to interview W1 for complaint. Due to W1 being anonymous LPA Calderon could not ask any questions regarding the allegation. On 02/13/2023 LPA Calderon interviewed S1-S7 for complaint. Staff state that there are no issues with residents’ showers. Staff state that staffing needs are different from am to pm shift and there are 2 staff floaters and 2 staff med-tecks that work each shift. Staff state that not all residents are given a shower at the same time and that there is always another staff member to support the floor caregiver when needed. Staff state no resident goes without a shower. On 02/13/2023 LPA Calderon attempted to interview R1-R6 for complaint. Due to residents having mental health issues LPA Calderon was not able to ask questions regarding the allegation. On 02/13/2023 LPA Calderon reviewed staff roster and LIC500. Staff roster supports am and pm staff and floaters and med-tecks working. 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 “facility personal are not sufficient in numbers at all times to prevent residents from falling” “ facility personnel are not sufficient in numbers at all times to answer resident call button in a timely manner” “facility personnel are not sufficient in numbers at all times to meet resident needs for incontinence care” “facility personnel are not sufficient in numbers at all times to meet resident needs for showering” is unsubstantiated. A exit interview was conducted with Director S1, and a hard copy was provided by hand.