complaint·August 24, 2023

LPA observed documents from Valley Home Health signed 4/20/23, but no notes regarding status of care. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 & Chapter 8, are being cited on the attached LIC 9099D 2. The Department investigated the allegation: Staff does not respond to resident's call button in a timely manner. LPA conducted interviews and reviewed records. Records show there were multiple times the resident had to wait over 18 minutes from the time R1's pendant had been pushed. Interviews conducted stated the facility is short staffed so it takes longer to respond to the residents when the pendants are pushed. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 & Chapter 8, are being cited on the attached LIC 9099D. 3. The Department investigated the allegation: Facility does not have adequate staffing to meet resident's needs. LPA conducted interviews where it was stated the facility is short staffed so it is hard to meet the resident's needs adequately. On 4/12/23 communication log indicates R1's catheter was leaking and a pressure injury on the buttocks was turning green and smelly. However staff did not send resident to the hospital and facility was unaware home health services were discontinued. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 & Chapter 8, are being cited on the attached LIC 9099D. During the course of this complaint investigation LPA interviewed staff on duty and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegations are SUBSTANTIATED. Exit interview was conducted and a copy of this report LIC909 , LIC9099D, and appeal rights were given to Resident Care Director- Kimberly Jones.