complaint·February 28, 2025

Chronic/ intermittent diarrhea was noted in these documents. An interview with an external source revealed the concern of lack of incontinence care was discussed during resident council meetings. This source addressed this concern with management, but it was not addressed. Interviews with internal sources, including R1, revealed there were instances when R1 had to wait up to forty minutes to be assisted with brief changes. Each shift had two caregivers and one medication technician on duty. The two caregivers were assigned to respond to resident calls and assist residents with incontinence care. The medication technician was assigned to pass medications. These sources also corroborated that during mealtimes R1 had to wait until caregivers were available. Interviews revealed there were approximately six to seven residents who required assistance with feeding, which required both caregivers to assist those residents during mealtimes. Interviews consistently disclosed most of the residents in care required assistance with incontinence care. Although there were contradicting statements on if medication technicians, kitchen staff, and administrative staff assisted the caregivers, there was enough evidence to substantiate the allegation. The deficiency was cited in accordance with California Code of Regulations, Title 22, and listed on the LIC 9099D. A plan of correction was jointly formulated with Administrator Caccam. An exit interview was conducted with Administrator Caccam, to whom a copy of this report, LIC 9099D, and Licensee/Appeals Rights (LIC 9058), were provided via email. An email read receipt confirmed the documents were received by the administrator.