complaint·October 10, 2023

During these 30 days, 46 call responses were over 15 minutes out of a total of 155 calls. Of these, 30 were over 20 minutes. Of these, 10 were over 30 minutes. Of these, four were over 40 minutes. On August 24, 2023, a call from R1 at 7:23 p.m. took one hour and 29 seconds to clear. On August 7, 2023, a call from R1 at 9:08 p.m. took 57 minutes and 27 seconds to clear. On August 7, 2023, a call from R1 at 10:33 a.m. took one hour, 18 minutes and 14 seconds to clear. LPA Moleski reviewed 30 days of call button responses for a resident (R2), dated from August 20, 2023 to September 19, 2023. During these 30 days, 15 call responses were over 15 minutes out of a total of 35 calls. Of these, 10 were over 20 minutes. Of these, four were over 30 minutes. Of these, two were over 40 minutes. A call from R2 on August 20, 2023 at 6:19 a.m. took 57 minutes and 10 seconds to clear. LPA Moleski reviewed 30 days of call button responses for a resident (R4), dated from August 20, 2023, to September 17, 2023. During these 30 days, 43 responses were over 15 minutes out of 147 total. Of these, 26 were over 20 minutes. Of these, 15 were over 30 minutes. Of these, five were over 40 minutes. A call from R4 on August 31, 2023 at 6:44 p.m. took one hour, 10 minutes and 51 seconds to clear. A call from R4 on August 29, 2023 at 6:58 p.m. took 51 minutes and 12 seconds to clear. A call from R4 on August 28, 2023 at 5:31 p.m. took one hour, 33 minutes and 51 seconds to clear. A call from R4 on August 24, 2023 at 6:36 p.m. took one hour, 38 minutes and 58 seconds to clear. LPA Moleski reviewed 30 days of call button responses for a resident (R6), dated from August 20, 2023 to September 18, 2023. During these 30 days, six responses were over 15 minutes out of a total of 19 calls. Of these, five were over 20 minutes. Of these, two were over 30 minutes. LPA Moleski reviewed 30 days of call button responses for a resident (R7), dated from August 20, 2023 to September 19, 2023. During these 30 days, 10 responses were over 15 minutes out of a total of 28 calls. Of these, seven were over 20 minutes. Of these, four were over 30 minutes. Of these, two were over 40 minutes. A call from R7 on August 23, 2023 at 7:20 a.m. took 54 minutes and zero seconds to clear. [continued on 9099-C] LPA Moleski interviewed 13 staff members (S1-S13). Of these, nine staff members (S3, S4, S5, S7, S8, S9, S10, S11, and S12) said the facility was understaffed, and that pendant calls were not being cleared in a timely manner as a result. LPA Moleski interviewed seven residents (R1-R7). Of these, four residents (R2, R3, R4, and R7) said the facility was understaffed and voiced concerns regarding call response times. The department has determined the following as it relates to the allegation that, due to lack of staffing, staff do not answer resident call buttons timely: Based on interviews with staff and residents, and based on record review, the above allegation is SUBSTANTIATED. A finding that the complaint allegation is substantiated means that the allegation is valid because the preponderance of evidence standard has been met. This facility is being cited per 22 CCR Section 87411(a). An exit interview was held with Quintanilla . Appeal rights and a copy of this report were left with Quintanilla . LPA Moleski interviewed seven residents (R1-R7). None of these seven residents voiced any concerns regarding dining service staff members’ infection control procedures. LPA Moleski interviewed a Sacramento County public health nurse. The nurse said this facility did not need to inform a resident (R1) of a staff member (S19) falling ill with COVID-19, as it did not meet close contact criteria. The department has determined the following as it relates to the allegation that staff are not following infectious disease protocols: Based on observation and interviews, the above allegation is UNSUBSTANTIATED, which means 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 left with Quintanilla.