Complaint Investigation Report

LPA attempted to contact R6 multiple times but was unable to conduct interview. LPA was informed corporate nurse may submit a revised plan of operations indicating response time to call bells at approximately 10 minutes, although with this time there are still too many responses out of range for this investigation. Based on LPA’s interviews conducted and a review of call log records, the preponderance of evidence standard has been met, therefore the above allegation staff not responding to assist in a timely manner is found to be SUBSTANTIATED.

Staff are not properly trained – Complainant alleges staff (S2) did not receive appropriate training (specifically hands-on shadowing) when onboarded but was put to work. LPA received documentation indicating S2 was hired on 12/27/2023 and last day worked was 2/16/2024. LPA obtained Resident Assistant Orientation & Skills checklist records signed on 2/16/2024 & page 2 was blank which indicates S2 did not have adequate hand on training prior to working. Regulation 87411(d) states: All personnel shall be given on the job training.. as appropriate for the job assigned. Although S2 had been trained for memory care, they would be placed in assisted living occasionally. Interview with former Administrator corroborated S2 had not been provided proper one on one training of the assisted living side prior to having to work in that department. Based on LPA’s interviews and training logs obtained for S2, the preponderance of evidence standard has been met, therefore the above allegation staff are not properly trained is found to be SUBSTANTIATED .

A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.