Complaint Investigation Report

It was alleged that licensee did not ensure staff had a Tuberculosis (TB) clearance before providing care to residents. During the course of the investigation, LPA observed one (1) staff did not to have TB test result on record. Record review and interview conducted revealed Staff #1 (S1) hired in 2022, did not have TB negative test clearance. During the visit, S1 was able to go to clinic and obtain appropriate clearance. LPA reminded licensee and designee to have all staff TB test cleared before working at the facility. Based on the information gathered, the department has sufficient evidence to determine that licensee did not ensure facility staff had appropriate TB clearance prior to employment; therefore, the above allegation is deemed SUBSTANTIATED at this time.

It was also alleged that licensee did not ensure staff had first aid/CPR training. Based on record review, LPA discovered that seven (7) out of twenty-four (24) staff did not have first aid/CPR on record. LPA explained that there should be at least one staff that is first aid/CPR certified on shift, in case of emergency. Therefore, based upon the interviews conducted and the available documentation reviewed, the above allegation is “licensee did not ensure staff had first aid/CPR training” is SUBSTANTIATED at this time.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8 the following deficiencies were observed and cited. Refer to the following LIC 809-D pages for list of deficiencies. Civil penalty issued in the amount of $1,500. Failure to correct deficiencies may result in additional civil penalties.

Exit Interview Conducted. Report was reviewed with Program Direct, and a copy of the report and appeal rights were provided.