Complaint Investigation Report

Allegation: Staff do not respond to resident’s call button in a timely manner

During investigation, LPA conducted interviews of facility staff (ADM, S1, S2), authorized representative (POA) and reviewed residents’ (R1, R2, R3) documents. On 09/18/25, ADM confirmed with LPA that staff are not timely responding to residents’ calls when they are in the middle of assisting another resident when the call came through. ADM stated they have come up with a plan for staff to communicate with another staff for help so that the resident’s calling will not have to wait a long time for staff to respond. Based on the Department’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that staff did not ensure medication was dispensed as prescribed was found to be substantiated.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due dates and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted, appeal rights and copy of report provided.