Complaint Investigation Report

LPA Chin reviewed staffing schedules and it showed that there were only two staff members on these dates for September 16, 23, 25, 30 of 2021 and November 4, 5, 11, 12, 16, 17, 18, 19, 22, 22, 23, 24, 25, 26, 27, 29, 30 of 2021 and December 3, 5, 7, 10, 11, 12, 14, 21, 22, 23, 28, 29, 30 of 2021 and January 1, 4, 5, 6, 7, 17, 22, 24, 29, 31 of 2023. This means that there were 4 days in September 2021, 17 days in November 2021, 13 days in December 2021, and 10 days in January 2023 in which there were only two staff members caring for six residents when there should be three staff members needed.

Based on LPA's observations and conducted interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The following deficiency is a violation of Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted along with appeal rights were provided and a copy of this report was left.