complaint·February 8, 2023

interviewed stated they only received services performed by licensed individuals and could not corroborate the allegation Facility staff are performing services on residents that staff are not trained for. Fourteen of fourteen individuals interviewed stated they conduct their own training and only perform the work they have been trained for and could not corroborate the allegations Facility staff are performing services on residents that staff are not trained for and Facility management are falsifying other employees' training records. The facility documents each staff training utilizing Relias online training software where each staff utilizes their own log in information to access the training. At 11:25 AM LPA Velazquez along with Health Services Director Deisi Lujan toured the Strands Salon where residents receive services such as haircuts, hair color, manicures and pedicures from licensed cosmetologists and manicurists. Regarding the allegation: Facility staff caused injury to resident's eye during the course of the investigation the following was revealed: LPA Velazquez conducted interviews with residents and staff. LPA also reviewed facility, resident, and staff records. The records reviewed included Resident Identification and Emergency Information, Physician's Reports, and Vivante Assessments. Additional records reviewed included Relias Training transcripts documenting the training topics and hours completed by each staff member. Fourteen of fourteen individuals interviewed were not aware of any facility staff causing an injury a resident's eye and could not corroborate this allegation. Based on the observations made, interviews which were conducted and the records that were reviewed, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the following allegations: Facility staff are performing services on residents that staff are not trained for, Facility management are falsifying other employees' training record, and Facility staff caused injury to resident's eye are deemed UNSUBSTANTIATED. An exit interview was conducted with Senior Executive Director Bob Fiorentino and a copy of this report was provided at the time of this visit.