Complaint Investigation Report

216803994-4-11-2023-21-AS-CMAZ-CR7PME-20230424112614

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

02/02/2023 and conducted by Evaluator Shannan Hansen

COMPLAINT CONTROL NUMBER: 21-AS-20230202120218

Staff do not respond timely to the resident’s alerts

Licensing program Analyst (LPA) Hansen arrived unannounced to deliver findings regarding the above complaint allegation and met with Administrator, Donald Stamets.

Staff do not respond timely to the resident’s alerts – Complaint alleges that staff are not responding to pendants being pushed, in a timely manner due to lack of staffing. Per interview and email received 4/10/2023 with Administrator, designated timeframe of when call buttons are to be responded to by staff is a 10-minute standard. SMARTcare report obtained from 1/23/2023-2/3/2023 reflect at least three hundred and one response times between 10-30 minutes, and at least 37 response times between 30-60 minutes. Based on LPA’s interviews conducted and a review of call log records, the preponderance of evidence standard has been met, therefore the above allegations are 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.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.