Complaint Investigation Report

The following was determined based on observations and record review:

Regarding the allegation that Staff do not ensure call assistance buttons are responded to in a timely manner , the following has been concluded: Based on record review of pendant button calls and responding time over a period of 90-days, it was established that there were approximately three occurrences of pendant button calls that were responded to between thirty-five minutes to one hour and eight minutes, calling the initial call. While some pendant button calls were addressed timely, these occurrences demonstrate that a timely response is not guaranteed. During an interview, Witness 1 (W1), reported waiting for 48 minutes to get a response when pendant button was used. W1 stated no one came so they went to get assistance from a caregiver in the hallway, outside of Resident 1 (R1’s) room.

Based on record review and observations made during the investigation, the preponderance of evidence standard has been met for allegation: Staff do not ensure call assistance buttons are responded to in a timely manner is deemed SUBSTANTIATED.

A deficiency is being cited as per the California Code of Regulations, Title 22, Division 6, Chapter 8. Civil Penalty Assessed.

An exit interview was conducted with Executive Director Peggy Ulland, and a copy of this report, LIC9099D, LIC421FC and appeal rights were provided at the end of the visit.