complaint·May 7, 2025

LPAs interviewed Residents R1-R10. 9 Out of 10 residents (R2-R10) stated caregivers are providing assistance in a timely manner when resident’s request for assistance. R1 stated approximately 3 to 4 weeks ago he/she sustained a fall in the morning in his/her bathroom. R1 stated he/she was yelling for help for approximately 20 to 30 minutes until a caregiver arrived. During the visit LPAs tested pendant in Room #222. The facility responded to this pendant test in 17 minutes and 30 seconds. (LPAs observed resident in #223 exit his/her room and requested for water. LPAs observed caregiver leave the area to get the resident the requested water, the caregiver then responded to resident in Room #222). LPAs also tested pendant in Room #226. A caregiver responded in 2 minutes to the pendant call in Room #226. LPAs interviewed Care Coordinator (CC). CC stated the facility has an extra staff in the morning shift and the facility is not short staffed. CC stated he/she has no knowledge of R1 falling or R1 being hospitalization in the past two months. LPAs reviewed progress notes for R1 for the months of April 2025 and May 2025. There were no documented falls for R1. LPAs also reviewed R1s hospital visits/fax communication file, and there is no mention or documentation of R1 falling in April 2025 and May 2025. LPAs reviewed facility incident reports. There were not documented falls or hospitalization's for R1 in April 2025 and May 2025. Based on investigation, records reviewed, and interviews conducted, the Department found that the above allegation is UNSUBSTANTIATED . An unsubstantiated findin g indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation did or did not occur. No deficiencies cited during today's visit per California Code of Regulations Title 22. An exit interview was conducted with Care Coordinator (CC) Gregg Madriaga and signed copy of this report was provided. Page 2 Out Of 2. LPAs interviewed Residents R1-R10. 8 out of 10 residents (R1-R5, R7, R9, and R10) stated the facility is providing transportation to residents for their appointments on Tuesdays and Thursdays. 2 Out of 10 residents (R6 and R8) stated they do not use facility transportation for his/her appointments. R1 stated the facility has been taking him/her to his/her appointments on Tuesdays and Thursday but stated he/she has missed appointments but does not know the dates of the appointments missed. LPAs interviewed Care Coordinator (CC). CC stated the facility has a transportation schedule for resident appointments on Tuesdays and Thursdays. CC stated if a resident has an appointment that is on Tuesday or Thursday and the facility is unable to meet a resident's transportation request, example too many appointments, the facility will pay for and provide additional transportation via private transportation service. CC stated that residents are aware that the facility provides transportation on Tuesdays and Thursdays (the facility prefers an advance weeks notice for appointments). CC stated he/she is not aware of any incidents of residents missing his/her appointments. LPAs reviewed transportation schedules for April 2025 and May 2025. After review, the facility is scheduling transportation for residents, including R1, on Tuesdays and Thursdays. Residents’ names, dates and appointment locations are noted on the transportation schedule. The Department has completed the investigation of the above allegation. Based on interviews conducted and records review, the Department has found that the above allegation is UNFOUNDED , meaning that the allegations were false, could not have happened and/or are without a reasonable basis. Facility staff are not qualified to provide care. On 5/2/2025 the Department received a complaint alleging that facility staff are not qualified to provide care. On 5/7/2025 Licensing Program Analysts (LPAs) Marcella Tarin and Manuel Monter investigated the allegation that facility staff are not qualified to provide care. Page 2 Out of 3. During the investigation, LPAs interviewed 6 staff S1-S6. All staff interviewed stated they have received training to provide care to residents. All staff interviewed stated all facility staff have been trained and are qualified to provide care. LPAs interviewed Resident R1-R10. 9 Out of 10 residents (R2-R10) stated facility staff has been providing adequate assistance with Activities of Daily Living (ADLs) such bathing, changing, escorting, etc. R1 stated facility staff are not qualified because they are not medically trained to give injections. LPAs interviewed Care Coordinator (CC). CC stated all staff receive training on how to care for residents. CC stated staff know how to perform their duties to include bathing, changing, escorting, etc. LPAs reviewed staff training records for the year 2025, which included in-service training but not limited to infection control, transfers/gait belt use, Dementia care and behaviors. The Department has completed the investigation of the above allegation. Based on interviews conducted and records review, the Department has found that the above allegation is UNFOUNDED , meaning that the allegation is false, could not have happened and/or are without a reasonable basis No deficiencies cited during today's visit per California Code of Regulations Title 22. An exit interview was conducted with Care Coordinator (CC) Gregg Madriaga and signed copy of this report was provided. Page 3 Out of 3.