complaint·March 18, 2022

It was also alleged that staff failed to effectively communicate with residents while in care. Staff interviews on 10/21/21 revealed that when residents push their pendant for help, caregivers come in to assist and communicate with them. The residents let the caregivers know what they need, and the caregivers help them out in any way possible. Most of the staff speak two (2) different languages with the most common being English. During care, the staff can communicate with all the resident in English with no problems with language barriers. During resident interview on 10/212/21 and 10/26/21, it was revealed that residents have not had any challenge with communication with any staff regarding language barriers. The staff speak to quickly, but resident tell staff to slow down. Some residents prefer that staff speak in Spanish as that is their native language. Based on evidence gathered, the allegation is deemed unsubstantiated. It was also alleged that unqualified staff is providing care and supervision. During staff interviews on 10/21/21, it was revealed that when a new staff is hired, they spend about one (1) week and a half training on the computer watching videos. Afterwards, they follow another staff member for about five (5) days to observe the duties, roles and responsibilities of the job. In accordance to Heath and Safety Code 1569.625, the department shall adopt regulations to require staff member of residential care facilities for elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 10 hours of training within the first four weeks of employment and four hours annually thereafter. The training shall include, but not limited to, the following: Physical limitations and needs of the elderly, importance of techniques for personal care services, residents’ rights, policies and procedure regarding medication and psychosocial needs of the elderly. LPA reviewed the California Direct Care Orientation Training Verification page received from the facility admin on 01/03/22 . The training page is for new staff and states it must be completed before working independently with residents: 9.5 hours of General Caregiver Training, 12.5 hours of Dementia Training, 4.25 hours of Restricted Health Conditions, Postural Supports and Hospice Care. Additionally, page 2 stated that the following training must be completed within four weeks of employment: 16 Hours of Hands-On Skills, and First Aid and CPR Certification. LPA Ascencio reviewed staff files on 10/26/21 and it was revealed that staff members have their required training hours to be able to work independently with residents. Based on evidence gathered, the allegation is deemed unsubstantiated. Continued on LIC 9099-C Regarding the allegation of Facility is not providing residents with adequate food. LPA Ascencio interviewed residents on 12/13/21 and it was revealed that food quality can be good at times and bad at others. It feels like the quality of the products that they use are cheap. The only good meal that seems to not to be messed up is breakfast. LPA reviewed the Dinning Room menu for the week of March 2020. The menu revealed that on a daily basis, breakfast, lunch and dinner, facility offers a balanced meal that includes a protein, carbohydrates, and vegetables. LPA also reviewed menus for April, May, June, July, August and September of 2020 and it was revealed that all meals included a protein, carbohydrates and vegetables. Based on evidence gathered, this allegation is deemed unsubstantiated. It was also alleged that Residents are left in soiled diapers for extended periods of time. Interviews with residents on 10/21/21, 10/26/21 and 12/13/21 revealed that the staff help assist residents to use the restroom when the resident push their pendant. Interviews further revealed that it is on rare occasions that residents have to wait for staff to help them out. Interviews with staff on 10/21/21 revealed that staff check in resident about three (3) times a day or about every two (2) hours during their shift. Resident push their pendent, the staff respond to it as soon as possible by walking to the resident apartment and assisting them. Further interviews revealed that the majority of resident don’t require as much help but those that do, are kept in a two (2) hour check in or as needed for toileting needs. Interview with Resident #1 (R1) on 12/13/21, revealed that one-time R1 had to wait about one (1) hour and thirty (30) minutes before someone came up to assist. R1 complaint to the administrator for what had happened. R1 states ever since that day, R1 has not had any issues with staff coming to assist or waiting for toileting needs. Although the allegation may have happened, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. Exit interview conducted. Copy of the report was provided to Admin and Business Office Manager via email.