Complaint·April 5, 2022

CONTINUED... During the course of the investigation, LPA Rosie Quiroz interviewed Twelve interviewees. Twelve of Twelve interviewees indicated that facility is always experiencing staff shortages in “Reminiscence” Memory Care Unit. Twelve of Twelve interviewees indicated that when there’s a call off, staff have to work short which leads to resident’s needs not being met timely.” During today’s visit, on or about 9:52am, LPA Quiroz along with Lucy Yi, Business Office Director (BOD) toured The Reminiscence neighborhood Memory Care Unit. On or about 9:59am, while conducting inspection tour along with (bod) Yi, LPA Quiroz pulled chord in Room 316 at 9:59am. This was verified with (BOD) Lucy Yi. On or about 10:00am, while touring dining-room area with (BOD) Lucy Yi , LPA Quiroz observed 20 residents of which 16 of 20 residents were observed on the right side of dining-room unsupervised by staff and 4 of 20 residents on the left side of dining-room eating their breakfast supervised by Lead Care Manager. On or about 10:03am, LPA Quiroz observed vomit on Resident 2 (R2) and on floor area near (R2). On or about 10:04am, LPA Quiroz observed Resident 3 (R3) yelling "Want a drink." LPA Quiroz observed no staff supervising 16 of 20 residents sitting on right side area in dining room area. This was verified with (BOD) Lucy Yi. On or about 10:07am, LPA Quiroz inquired staffing ratio and numbers of staff present today. Lead Care Manager on duty verified that there were 2 Care Managers and 1 Lead Care Manager working today and indicated “1 agency staff called out today and no one showed up. Memory Care Director was informed.” During today’s visit, Medication Technician on duty was observed conducting medication technician duties. During today’s inspection tour visit it was reported by Lead Care Manager that 1 of 2 care Managers working on today’s date was out on break. During today’s visit, on or about 10:18am Director of Sales (D0S) Patty Darsow joined inspection tour. At this time Life Enrichment Manager was observed coming into the neighborhood to commence her assigned shift. LPA Quiroz along with Patty Darsow toured Room #13. On or about 10:19am, LPA Quiroz pulled call light chord in Room #13. LPA Quiroz and (DOS) Darsow waited until approximately 10:26am and no staff responded to call light. On or about 10:27am, LPA Quiroz and (DOS) Darsow walked back to dining-room area and inquired about call light services. Lead Care Manager pulled out her phone and said “Oh, Room #16 and Room #13 need help.” (DOS) Darsow asked Lead Care Manager and Agency Staff “How do you know residents need help or pulling chord?” Lead Care Manager then checked her phone and identified there were 2 call lights requiring assistance. The Lead Care Manager indicated that calls lights are identified via telephone and that Agency Staff did not have telephone access on today’s date. On or about 10:29am, LPA Quiroz observed Lead Care Manager give directive to Agency Staff to respond to call lights in Room #13 and Room #16 that were initiated at 9:59am and 10:19am. CONTINUED ON NEXT PAGE... CONTINUED... On or about 12:26pm, LPA Rosie Quiroz inquired about Agency Staff who had called out. (ED) Roxanne Psenicnik verified “I had another coordinator fill in until the Agency Staff arrived." COVID-19 check in screened verified, Staffing Agency arrived to facility on or about 11:33am. At 12:28pm, Executive Director Roxanne Psenicnik verified 22 of 24 residents in Reminiscence Memory Care Unit have a Dementia diagnose. Based on the information gathered through interviews, records reviewed, and observations conducted during today’s visit, the preponderance of evidence standard has been met therefore the above allegation is Substantiated. The following deficiency is being cited per Title 22, Div. 6 of the California Code of Regulations. (See Lic 809-D). This report, along with Appeal Rights and LIC 809-D were discussed with Executive Director Roxanne Psenicnik and provided via email.