complaint·December 29, 2022

Staff interviews conducted stated that there have been issues with the pendant devices such as call buttons alarming when residents have not called for assistance and alarming for residents who were out of the facility, or no longer residing at the facility. Interviews revealed that sometimes staff members would forget to clear the call button after assisting a resident resulting in the button continuing its alarm until it was properly cleared. Interviews conducted indicated that the facility was aware of the devices having issues but could not determine its cause. LPA was informed that the call light system would be undergoing a system audit to address the issues observed with the call light system and defective pendants. Based on documents reviewed, observations made, and interviews conducted, the allegations that Staff do not respond to resident’s emergency call button in a timely manner and Facility does not have adequate staff to meet the needs of residents have been Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections, and Appeal Rights discussed and provided to Administrator. Signature on form confirms receipt of documents. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.