Complaint·August 9, 2024

Regarding the allegation, that staff did not respond to resident’s call button in a timely manner, the Department found through a review of the call button response log that on several occasions, facility staff have taken up to a total of 289 minutes to respond to call buttons. Furthermore, the LPAs learned that within the last 2 weeks, there have been a total of 16 residents who waited more than 30 minutes for assistance. Regarding this allegation, the preponderance of evidence has been met, and the allegation is SUBSTANTIATED. The Department has investigated the above allegations of a possible violation of a resident’s personal rights. Based on the investigation, the preponderance of evidence standard has been met, therefore the above allegations are determined to be SUBSTANTIATED. The deficiencies cited on the following pages are in violation of the California Code of Regulations, Title 22, Division 6, Chapter 8, Article 7: Personnel Requirements-General. An exit interview was conducted. This report was reviewed with Fili Igafo, Executive Director and a copy of the report along with Appeal Rights were left at the facility. Regarding the allegation, that the resident was left on the floor for an extended period of time, LPAs interviewed staff and asked but were not able to procure a copy of the call button response times. Due to a lack of evidence, this allegation is UNSUBSTANTIATED. The department has investigated the above allegations that staff did not observe resident’s change of health conditions or reassess resident’s care plan. The allegations are UNSUBSTANTIATED meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted. This report was reviewed with Fili Igafo, Executive Director and a copy of the report left at the facility.