complaint·July 29, 2024

Agency care notes indicated that R2 was awake, alert and verbally responsive. No reports of pain or cough noted. Recommendations included; keep nails trimmed and apply sarna lotion prn. Outside agency did not observe or document R2 being left in feces or unbathed. Facility internal care notes dated May 2021 through April 2022 indicate R2 was regularly monitored and assessed by facility staff. Care notes indicate R2 was monitored for both R2's mental and physical well being. R2's responsible party was also advised of any change of condition. R2's service plan dated Jan 1, 2022 indicated that R2 needed assistance with incontinence supplies, hygiene, and changing linens. R2 would be toileted day and night. Service plan further indicated that R2 would receive assistance with toileting according to R2's schedule, need, and requests. Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegation is not valid. An exit interview was conducted with Calais Anguiano. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Calais Anguiano whose signature below verifies receipt of these rights. The other two staff members acknowledged that staffing was a problem and they are often required to work very hard but that resident's needs were being met. Review of internal logs was conducted. The call alert logs from the facility reflected an ongoing concern with long wait times for care. In one week analyzed over 13% of resident calls were answered after 20 minutes or more. Some resident calls took over an hour to answer. LPA interviewed Executive Director (ED) who stated that she began working at the facility on July 2023. ED stated that as of today the facility is sufficiently staffed and the resident pendant calls are answered on a timely basis. ED further stated that the response call time has also improved from the previous year. Based upon the foregoing, the above listed allegation is substantiated. This finding means that the preponderance of the evidence standard has been met and the allegation is valid. Deficiency is cited in accordance with California Code of Regulations, Title 22, Division 6, Chapter 8 and is noted on the attached LIC 9099-D. An exit interview was conducted with Calais Anguiano and a copy of this report and Licensee/Appeal Rights (LIC9058, 3/22) were provided to Calais Anguiano whose signature below confirms receipt of documents.