complaint·February 7, 2023

CONTINUED FROM FORM LIC9099-A On February 7, 2023, LPA conducted a follow-up investigation visit. Follow-up interviews were conducted with staff members S2 and S3 as well as with administrator. Regarding the allegation that Uncleared staff are providing care and supervision to residents, the following has been determined: During both visits, all staff members present were found to be adequately cleared and associated in Guardian. Interviews conducted confirmed the identity of other scheduled staff members who were not present at the time of the visit but were also confirmed to be cleared and associated. The allegation is therefore found to be unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Regarding the allegation that Facility administrator is absent from the facility, the following has been determined: During both visits, interviews and a review of staff schedules on file confirmed the daily presence of administrator for at least two to three hours, often more, depending on the established needs at the time. During both visits, Administrator was able to come to the facility under short notice and assist with the investigation's requests.The allegation is therefore found to be unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Regarding the allegation that Staff is not wearing masks while providing care and supervision a the facility, the following has been determined: During both visits, staff members and administrator were observed wearing masks already at the onset of the visits and continuously throughout the LPA's presence at the facility over several hours. The allegation is therefore found to be unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of this report was provided and left at the facility. CONTINUED FROM FORM LIC9099 Furthermore, interviews conducted during the visits confirmed that initial training may not have been fully completed for some of the more recent hires. The absence of documentation establishing otherwise further corroborates that some employees may have been missing part of their required training at the time of the initial visit. Following the initial visit, Administrator stated and provided documentation for medication administration training as well as required dementia training being conducted. On February 7, 2023, LPA conducted a follow-up investigation visit. Follow-up interviews were conducted with staff members S2 and S3 as well as with administrator. Based on observation, interviews conducted and a review of records provided at the facility, the allegation that Staff are not trained is deemed Substantiated, meaning that the preponderance of evidence standard has been met. One deficiency is cited today per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted and a copy of the report along with appeal rights were provided.