complaint·June 22, 2023

Facility administrator falsifies training records The allegation stated th e facility administrator falsifies the staff training records and puts the fake records in the staff files. During record review of staff files and training logs, LPA observed the training logs from 2013-2023. LPA observed either an RN, Administrator Sam Apostle or a third party vendor was providing facility staff training. The training logs which captured the staff signatures were made with different color ink and different signatures. Staff did not notify resident's authorized representative of residents fall The allegation stated the Resident (R1) had a fall on 8/13/22 and the staff also did not notify the resident's authorized representative that the resident fell. A staff member called the resident's authorized representative on or around 8/15 or 8/16/22 to let the authorized representative the resident was being sent to the hospital. During today's visit 6/22/2023, LPAs interviewed ADM and ADM stated the family was notified about the fall via phone call and does not have written record of the call. The Department has investigated the above allegations. Based on LPA inspection, observations, records review, interviews with AD, staff, and residents, the preponderance of evidence standard has not been met therefore the allegations are UNSUBSTANTIATED. Meaning although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Samuel Apostol and a copy of the report was provided. Staff administer medication without medication training The allegations stated a staff member (S1) without training is providing medications to the residents. Per interview with Administrator (ADM) Sam Apostol, facility staff did not have training due to the pandemic. LPAs reviewed the medication logs from September and October 2022 which includes the resident's medications, date and time the staff initials stating when and who gave the medications to the resident. ADM reviewed the initials on the medication record and they did not belong to S1. Per staff interviews and resident interviews, S1 gives residents medications in the morning. LPAs interviewed S1, S1 stated S1 has given medications in the past couple of years when Med-Tech is on vacation or calls off sick. S1 stated did not receive medication training. Per S1, the medication is in little brown envelopes which are prepared in advance. Per record review, S1 has not received medication training in prior years, the only training record for S1 is for the year 2023. Staff did not report incident involving resident to CCLD The allegation stated the resident's fall which occurred on 8/13/2022 was not reported to CCLD by submitted an incident report. During today's visit, 6/22/2023, LPAs interviewed ADM and ADM could not produce the incident report for the resident's fall. ADM did report the hospitalization of the resident which occurred a couple of days later. The Department has conducted an investigation of the above allegations. Based on interviews and records review, the preponderance of evidence standard has been met. Therefore, the Department found the above allegations to be SUBSTANTIATED. Deficiencies are being cited. See LIC 9099-D. Exit interview conducted with Administrator, Sam Apostol . A copy of this report, along with the facility's appeal rights were provided.