Complaint·September 25, 2025

stated that when they did, they put it back around R1's neck. Based on a review of the pendant call alert, there were days when either R1 did not have a pendant (both the family and facility staff commented that it had been lost and replaced) or it was not activated. This LPA learned the following from a review of the call logs. From 05/01/25 though 05/14/25, R1 activated their pendant 66 times, out of that number, 11 of these calls for assistance took longer than 15 minutes to respond to. On 05/01/25, It took staff 2 hours and 26 minutes to address R1's call. On 05/02/25, it took 1 hour and 2 minutes. On 05/06/25, it took another 1 hour and 2 minutes. On 05/08/25, it took 31 minutes, and on 05/09/25, it took 1 hour and 20 minutes. The Department found the allegation " Staff keep taking residents pendent away," UNSUBSTANTIATED. A finding of 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. However, during this investigation the Department also learned that staff were not responding to the resident's call alert in a timely manner and that deficiency will be addressed during a future case management visit. According to the California Code of Regulations, Title 22, no deficiencies were cited during today's visit and a copy of this report was provided along with APPEAL Rights and an exit interview was conducted with Sylve.