Complaint Investigation Report

R2 is on a nectar thick diet which facility has documented resident refusal . During two different visits, LPA pulled the emergency cord in 5 rooms. LPA received four staff responses within 20 minutes and no response in one pull. Review of pendant pull/ emergency response times for 05/01/2022-05/08/2022 indicated 40 response times between 23 minutes and one hour. Administrator stated expected response times are within 15 minutes. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report was provided to facility along with appeal rights.