Complaint·October 4, 2022

On June 15, 2022, Staff 3 (S3) was hired to work as a reliever for the primary caregivers, Staff 1 (S1) and Staff 2 (S2), after completing three days of training on June 1st, June 6th, and June 7, 2022. S1 stated that S3 completed one in-service training at the facility on June 14, 2022 for approximately 1 to 1.5 hours instructed by S1 and S2. S3 stated that the oxygen compressor in the living room was accidentally turned off not knowing it belonged to R1. Per S1, S3 stated that the oxygen was turned off for 3-5 minutes. S3 admitted that the oxygen was accidentally turned off for a few minutes. When S1 and S2 entered the facility and observed the oxygen was turned off, S2 rushed to turn it back on while S1 went to check in on R1. Based on LPA’s information gathered through interviews of witnesses, review of records, observations, and S3 admission statement that R1’s oxygen was turned off, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. See LIC9099D for cited deficiency. A deficiency is cited today as per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted with the Administrator Hanh Pham, and a copy of this report along with the LIC9099C, LIC9099D, 811s, and the appeal rights were provided.