Complaint Investigation Report

During investigation, LPA conducted interviews, made observation and reviewed residents records. Records showed all 6 residents need assistance with most ADLs and 1 resident (R1) needs assistance in transferring.

Although staff (S1) stated she will able to assist the residents in the event of emergency, LPA observed S1 ambulates with a slow, shuffling gait. LPA further observed S1 with shuffling gait when S1 brought the residents in their wheelchair to the dining room. S1 stated she's not able to assist resident (R1) in transferring and provides R1 meals in the bedroom and that it is the administrator (ADM) who transfers R1 from bed to wheelchair. The other staff (S2) also stated giving R1 meals in the bedroom. S2 stated working in the facility on days the ADM is off.

ADM confirmed S1 and S2's statements that she is the one who assists R1 and that she's off on Thursdays and Saturdays.

Based on interviews and records review, the preponderance of evidence is met, therefore, the allegation is substantiated.

Deficiency is cited on Title 22 California Code of Regulations and listed on 9099D. Failure to submit proof of correction by plan of correction due date may result in civil penalty.

D eficiency and plan and proof of correction were discussed with ADM.

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.