complaint·March 30, 2025

The investigation consisted of the following: On 9/13/2024, staff records were reviewed, interviews of staff and residents were conducted. On 3/29/2025, records were collected, and interviews were conducted. Interviews conducted consisted of 5 staff interviews [Staff 2 (S2) to Staff 6 (S6) were interviewed] and 8 resident interviews [Resident 1 (R1) to Resident 8 (R8) were interviewed]. On 3/30/2025, records and interviews were reviewed, and interviews were conducted. Records reviewed consisted of Staff 1 (S1) file, Employee Roster dated 3/29/2025, Resident Census dated 3/29/2025, and Resident Roster dated 3/29/2025. Interviews reviewed consisted of S2 to S6 interviews and R1 to R8 interviews. Interviews conducted consisted of 2 staff interviews [Staff 7 (S7) to Staff 8 (S8) were interviewed] and 3 resident interviews [Resident 9 (R9) to Resident 11 (R11) were interviewed]. The investigation revealed the following: Allegation: “Facility staff is sleeping at work”, it is being alleged that a staff member is sleeping at work. Interviews conducted with R1 to R11 revealed the following: 1 out of 11 residents saw a staff sleeping at work, and 10 out of 11 residents have not heard about staff sleeping at work nor seen staff sleeping at work. Interviews conducted with S2 to S8 revealed the following: 1 out of 8 staff saw S1 sleeping at work; 2 out of 8 staff heard that S1 sleeps at work; and 5 out of 8 staff have not heard about staff sleeping at work nor seen staff sleeping at work. Records reviewed of S1 file revealed the following: there is no mention of S1 sleeping at work. Observations revealed the following: On 3/29/2025 and 3/30/2025, the department did not observe staff sleeping in the facility. Based on interviews, records, and observations this allegation is unsubstantiated. Unsubstantiated: Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was left with the Memory Care Director, Melissa Sigala.