complaint·November 1, 2024

(Continued from LIC 9099) Fountain Valley Fire Marshall to ensure the facility is able to demonstrate proper evacuation and disaster preparedness. Seven of seven staff interviews also stated that there are no staffing issues at the present time. At the time of the allegation in 2022, the corporate office stated that facilities experienced staffing shortages, due to the pandemic. LPA Quiroz obtained and reviewed facility staffing schedules to ensure there were staff scheduled to work. LPA Quiroz observed on September 21, 2022 that there were four staff members in Memory Care, five staff members for Assisted Living, two Medical Technicians (Med Techs), an Activity Director and a Resident Coordinator. LPA Quiroz observed three caregivers with fifteen Memory Care residents in the Activity Room participating in karaoke during the facility tour and residents were engaged in the activity. Although the above allegations may have happened there is not a preponderance of evidence to prove the alleged violations occurred; therefore, the allegations that: facility staff are not trained to conduct the proper response to an emergency disaster and that the facility failed to provide adequate staffing to meet resident’s needs are unsubstantiated. An exit interview was conducted with Peggy Ulland, Executive Director (ED) and a copy of this report was provided to the facility.