complaint·February 15, 2024

Staff 1 (S1) does not have required annual training. Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met. Therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report was provided to facility administrator along with appeal rights. *This is an amended report to be deleted in the system. The continuation page was formatted onto one page at delivery and this page did not delete due to a system error. any knowledge of missing medications. Five out of five staff indicate R1's responsible party would refuse staff entry into the resident's room. Facility utilizes electronic scanning to enter a resident's room as well as to reset a pendant alert. Facility documentation shows facility staff scanned in to check on resident on average 12.02 times a day between 04/01/2022 and 04/25/2022. Pendant alert documentation indicated the resident alerted 4 times in April 2022 and staff responded, on average, within 11 minutes. Based on interviews conducted and record review, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to facility.