complaint·July 11, 2024

Continued from LIC9099... However, LPA was provided with interim certified administrator Larona K Farnum certificate #6020540740 expires on 10/1/24, who confirmed during interviews conducted with LPA, that they were present in the facility in average of 15-20 hours per week depending on administrator’s duties needed, during the last two weeks of December 2023 through March 2024. LPA will address reporting requirements on a case management due to the licensee did not notify the Department in writing within thirty (30) days of the hiring of a new administrator. On April 29, 2024, the Department received pertinent documentation dated April 29, 2024, from the Board of Directors Western Living Concepts, Inc appointing new administrator and requesting the Department to change administrator’s name on file. The Department received an allegation of facility staff are not properly trained. Reporting Party states housekeeping staff have been now assigned to provide care giving services to the residents without having trainings. Per the reporting party, current acting administrator gives some staff special treatment and does not let some staff take their break or lunch. The reporting party did not have further details to provide. Based on visits conducted on 5/16/24, 6/5/24 and 6/11/24 staff were present and appeared to be sufficient staff to meet resident’s needs. Based on records review, LPA obtained staff schedule for the month of May 2023, where it was determined that there are an average of two caregivers and a medication technician assigned to the morning and afternoon shift. The night shift usually has two caregivers for a census of 20 residents in care. Based on review of staff (S1, S2, S3, S4, S5, S6, S7, S8, S9 & S10) training records, six out of six staff who assist in the administration of medications have the required training per regulation. Four out of six caregiver staff who assist residents with a diagnosis of dementia have at least twenty hours average of training hours required per regulation. LPA was provided with assignment sheet designed for two groups (Group A & Group B) of caregivers, which revealed that caregivers are supposed to take staggered lunches to always ensure coverage. LPA conducted on 6/5/24 and 6/11/24 confidential interviews with staff (S1-S10) including kitchen staff revealed that some staff assist residents when they are at the dining room and at times, they do escort them to their room, but they do not necessarily assist residents with toileting, medication, etc. LPA learned based on records review and interviews with staff, information was not provided to support that violation occurred regarding facility staff are not properly trained. A finding that the complaint allegation of facility staff is not properly trained is 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. No citations during today's visit. Exit interview was conducted with acting administrator and a copy of this report was given.