Complaint Investigation Report

Regarding the allegation that Staff do not respond to resident’s calls for assistance in a timely manner , the following has been concluded: Based on interviews conducted and records reviewed there are on average 116 pushes per day. When ruling out pushes related to low battery levels in the pendant, there remains 139 pushes for which the response time between call system activation and endorsement of the call by staff exceeded 45 minutes, hence over four daily occurrences of excessive wait for the residents in care.

As a result, the allegation is found to be Substantiated, meaning that the preponderance of evidence standard has been met. One type B deficiency is being cited per California Code of Regulations Title 22 and an immediate civil penalty for a repeat violation is being assessed.

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