Complaint Investigation Report

The investigation revealed the following: regarding the allegation “staff not responding to resident's call light” it is alleged that caregivers are not instructed to attend to the pendant or call light especially on the 10:30pm to 6:30 am shift.

Interviews conducted with staff revealed that in early March 2021 there was a caregiver during the graveyard shift that was caught on camera sleeping or on their phone and not responding to the call light. A call light system & response time in-service training was conducted on 03/11/2021. The facility reduced the caregiver’s hours due to continued poor work performance; this resulted in the caregiver resigning on 05/05/2021.

Interviews conducted with residents revealed that the staff are responding quickly to their call light and there is no longer an issue with the response time. During the tour the LPA pressed the call light in 3 random resident rooms and the response time was between 2-4 minutes.

Based on LPA's interviews which were conducted, the preponderance of evidence standard has been met, therefore the allegation is found SUBSTANTIATED. California Code of Regulations Title 22, Division 6, and Chapter 8 are being cited on the attached LIC 9099D.

Exit interview held and a copy of the report and appeal rights was provided.