Complaint·April 19, 2021

On 01/09/2021, the Department provided a memorandum of understanding to the facility's temporary administrators Lauren Powell and Kim Golden, enabling them to officially request staffing assistance, as a large number of staff members were unable to attend their shifts due to the COVID-19 outbreak. Staff scheduling sheets for the week of 01/04/2021 to 01/08/2021 acquired on 2/11/2021 and 3/19/2021 indicate that there was insufficient caregiving staff available to compensate for those that needed to call off. Staff interviews indicated that activities staff assisted with care giving duties, but activities staff staged a walk-out on 01/07/2021. One interviewed staff member (S1) stated that he/she was the only person working on their floor at the time of the interview. No other staff members were observed by LPAs. S1 stated that residents positive with COVID-19 were not being bathed. Resident shower records do not indicate that staff signed off on showers being provided for residents. 2 other staff members and 1 medical professional interviewed also indicated that showers were unable to be completed timely. Resident assist logs obtained on 01/15/2021 indicated that on the week of 01/04/2021 to 01/08/2021, there were multiple instances of residents pressing their alarms and not receiving a response for over 30 minutes. The Department has conducted an investigation of the above allegations. Based on interviews, observations and record review, the preponderance of evidence standard has been met. Therefore, the Department found the above allegations to be SUBSTANTIATED . Deficiencies cited per the California Code of Regulations Title 22, see attached 9099D. Report reviewed with Tami Ojwang, General Manager, and a copy of this report provided electronically with appeal rights for signature.