Complaint Investigation Report

Please be advised: When the Department initiated this investigation, at the time that Variola Marciano was serving as the facility’s Administrator.

The investigation revealed the following:

Allegation: Facility staff are not properly trained

It was alleged that staff in the memory care new hires are not properly trained.

On 08/11/2025, LPA interviewed Administrator (A1) regarding the allegation. A1 denied the allegation. A1 states he believes his staff is properly trained as ongoing trainings are provided such as in-services, annual training, Relias and shadowing.

On 08/11/2025, between 2:30pm -3:50pm and on 10/02/2020 between the hours of 10:17am - 12:21pm, LPA interviewed 11 staff regarding the allegation: 2 of 11 staff confirmed the allegation and stated if staff is a first-time caregiver needs additional training. 6 of 11 staff denied the allegation and stated all staff are properly trained.

3 of 11 staff did not confirm nor deny the allegation and stated speaking for themselves that they have been properly trained .

On 08/11/2025, between 2:30pm -3:50pm and on 10/02/2020 between the hours of 10:00am -11:43am, LPA interviewed 9 residents: 9 of 9 residents denied the allegation and stated the staff appear to be trained and knowledgeable when assisting the residents.

On 12/05/2025, between 8:30am and 2:25pm, the LPA conducted a records review and noted the following:

A total of 27 caregivers work in the memory care unit. 11 caregivers participated in the required 2024–2025 training curriculum, which consists of 46 topics, including dementia care, incontinence care, medication assistance, care for bedridden residents, communication, person-centered care, hospice services, residents’ rights, infection control, and recognizing and reporting abuse, among other mandated subjects. Upon discovery, here is the training completion levels w as follows: 46 topics completed by 2 caregivers , both employed for 4 and 7 months. 40–45 topics completed by 3 caregivers, each employed for approximately one year. 8–24 topics completed by 6 caregivers; 2 have been employed since 2023 and 4 have been employed since 2024.

Based on LPAs observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED under California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

Exit interview conducted with Robert Jakini (Administrator) and a copy of this report & appeal right were provided.