Complaint·August 1, 2023

On 02/16/2023, the LPA discussed the allegations with the Administrator at the time Jill Ford and obtained copies of additional facility records. During today's inspection, the LPA reviewed facility records beginning at 11:41 AM and conducted interviews with Business Office Manager Jennifer Miller. Allegations: Facility staff initial training is incomplete and Facility staff annual training is not completed The allegation alleges new staff are working with residents prior to receiving their completed initial training and staff are not up to date on their annual training. The LPA reviewed record for six caregivers and or med-techs. Staff #1 (S1) was hired as a caregiver on 03/15/2022. Record review revealed S1 received 5.5 hours of training through Relias on 03/23/2022 and .50 hours of training on 06/24/2022 and no further record of the required 40 hours of initial training within the first four weeks of employment or the annual training of a total of 20 hours for direct care staff. Records reflect on 07/02/2022, S1 received 24 hours of initial medication training. On 02/08/2023, 03/17/2023, and 05/30/2023, S1 received a medication in-service training but the hours of training received were not documented. Staff #2 (S2) is a medication technician hired on 02/03/2022. Record review revealed S2 received 24 hours of initial medication training on 2/3/22, 2/4/22, 2/5/22, and 2/10/22. S2 received med tech in-service training on 02/08/2023, although there is no record of how long the training was. Staff #3 (S3) was hired on 05/21/2021 as a caregiver. The facility has no record of S3 receiving 40 hours of initial training within the first four weeks of employment or proof of 20 hours of annual training in 2022 or 2023. S3 later became a med-tech and received 24 hours of medication training in June 2021 and August 2021 but there is no record of S3 receiving annual medication training in 2022 and medication training received in 2023 did not reflect how long the training was. Report continued on LIC 9099-C. Staff #4 (S4) was hired on 09/23/2022 as a caregiver. Records reflect S4 received only three hours of training from Relias in October 2022, 14.25 hours of documented training in Relias in 2023, and one hour of in-service training on 07/25/2023. Record review also revealed no proof of current first aid for all six staff files reviewed. Based on the information received, there is sufficient evidence to support the allegations of facility staff initial training is incomplete and facility staff annual training is not completed. Therefore, the allegations are deemed substantiated at this time. The following deficiencies were observed (See LIC 9099-D.) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview and report reviewed with Jennifer Miller, Business Office Manager and Sherry Nazari Administrator. A copy of the report and appeal rights were provided. During the inspection on 02/16/2023, the LPA obtained proof the Culinary Director at that time had current Serve Safe/Food Handler certificate and met other requirements. Since the complaint was filed, the facility has a new management company with new job descriptions. Based on the information obtained, there is in sufficient evidence to support the allegation of unqualified staff cooking occurred. Therefore, the allegation is deemed unsubstantiated at this time. Exit interview conducted. A copy of the report and appeal rights were provided.