Complaint Investigation Report

Staff are not ensuring resident can reach their call button. - SUBSTANTIATED

During a visit to the facility LPA observed that R2's call light was missing the cord. LPA observed a button on the wall without a cord that would normally enable a resident to pull rather than having to be right against the wall to press their call light.

1 of 3 staff stated that some care givers pull Resident 2’s (R2) bed away from the wall so R2 cannot reach their call button. 1 of 3 staff stated If R2 is in their wheelchair they can’t reach their call button.

3 of 3 staff stated that R2’s call light is broken. The string is missing from R2’s call light, there is a red cover that says EMERGENCY on it but R2’s is broken so R2 has to push a tiny knob up or down. R2’s call light just has a button on the wall and R2 has to be in their bed and the bed has to be fully against the wall in order for R2 to reach their call light.

It was determined that R2’s call light is missing the cord that would enable R2 to activate their call light even if their bed is not right against the wall. R2 cannot reach their call button unless they are in their bed right against the wall. This allegation is substantiated.

Based on interviews, observation and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Appeal rights were provided. Exit interview was conducted and the report was provided to administrator Michelle Hernandez and Diania Bingham.