Complaint·April 1, 2022

LPA Mknelly review sample of call logs for June 1-4, 2021 and July 1-4/ 2021 found the following: June 1- 4 had a total of 52 calls recorded with a response time of greater than 20 minutes; July 1- 4 had a total of 54 calls recorded with a response time of greater than 20 minutes: Call log for 7/13/21 for R4 found that at 5:27:18 am, the resident’s call was made. The response time is recorded as 61.9 minutes. An indent report submitted on 7/17/21 of 7/13/21 notes that staff responded to R4 at approximately 6:30 am for shortness of breath secondary to respiratory condition which required emergency response and resulted in hospitalization. On 10/14/21, LPA Calzada interviewed three (3) residents, 2 of 3 reported wait times in excess of 1 hour. While interviewing R 2 , R2 noted that they had been waiting 20 minutes for incontinence care when LPA arrived. On 3/30/22, LPA Mknelly interviewed three (3) residents with recorded response times June 1-4/ 2021. Two (2) of the three (3) residents stated that long wait times have happened and continue to happen. A fourth resident was interviewed on 3/30/21 by LPA Mknelly regarding a resident report that they also experience long wait times. In the interview with R 3 , R3 stated that they regularly experience long wait times, they have reported that their button does not work. LPA and R3 tested the call button which was not in reach if R3 when LPA arrived. The button was pressed at 1:55 pm. Red light indicated a call was sent. No staff response at 2:40 pm. LPA spoke with a maintenance manager, Patrick Guevara, who acknowledged that the button should be tied to R3‘s bed and that he has checked the button several times and has ensured to works. LPA then went to the reception area where calls are monitored. Receptionist, Aylin Mendez, should LPA that no call was recorded for R 3. Receptionist recorded a repair request. Therefore, this allegation is substantiated. **This page contains Amended language** On January 29, 2021, the facility submitted an incident report for a power outage on January 27, 2021 at 2:00 am. Facility’s emergency and disaster plan states that “… Disaster Leader… will ensure residents are kept comfortable… will continuously communicate with licensing representatives…”. Reporting requirements are that the facility notify Community Care Licensing of a catastrophe within 24 hours. R1 reported that they informed their family/ representative of the outage the following day. Family representatives agreed with the statement. AccuWeather.com recorded the temperatures for 1/27/21 as 42- 52 degrees F., 1/28/21 as 45- 50 degrees F. Interviews found that the facility did not supply space heaters to be run by the facility generator until 1/28/21. Staff placed blankets on the window of R1’s room to reduce drafts. Residents reported cold foods were supplied to residents. Administrator stated facility did not lose capability to serve hot food and drinks. Therefore, facility failed to follow the disaster plan as required by not properly reporting to CCL, a resident family and ensuring residents were kept comfortable. Administrator stated to LPA Mknelly during this review that resident families were notified and residents kept comfortable, As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with Administrator. Copy of this report and appeal rights provided. Records reviews and statements indicated that staff were scheduled during the overnight hours. While there is a substantiated allegation for staff not always responding timely to resident calls, evidence did not indicate that the facility was unattended. The facility maintains cash resources for some residents. During the time of this complaint, it is acknowledged that when the Administrator was not present, resident funds were not available. However, LPA did not find an instance when residents requested funds and were denied access. The allegation that staff does not effectively communicate is undetermined. However, it is found that facility staff did not properly report the power outage of 1/27/21 to all family members and CCL. As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview with administrator.