Complaint Investigation Report

According to the interview statement received, at least four (4) facility staff are not CPR trained. The Department conducted interviews and received statements from a total of five (5) facility staff. Interview statement received from staff (S1) indicated, the facility only provides Cardiopulmonary Resuscitation (CPR) trainings to Medication Technicians (Med Techs). CPR training is not provided to care providers. Med Techs are assigned to work per shift. All staff are trained in first aid.

The Department requested and reviewed the facility’s policy for scheduling staff in CPR and first aid. The policy indicated, the schedule for direct care staff will include at least one staff member who is trained in CPR and first aid on each shift. The person responsible for developing and maintaining the schedule will keep a list of all staff members who have a current CPR and first aid card. When the schedule is produced, the person responsible for developing the schedule will check that at least one person scheduled for each shift in the community has a current CPR and First Aid card. One person certified in CPR and First Aid working in either Assisted Living or Traditions will be sufficient for this purpose. If an unexpected absence results in no trained staff member being in the community for the shift, and if attempts to obtain a trained staff member to substitute are unsuccessful, the problem will be referred to the Executive Director for resolution which may necessitate that a management team member who has CPE and First Aid certification cover as the trained staff member for the shift. The Department requested and reviewed a total of ten (10) facility staff CPR and First Aid certifications. The facility has two CPR training sessions scheduled for February and March of 2024.

The Department interviewed and received statements from a total of seven (7) facility staff. Interview statement received from staff (S3) stated, Med Techs are required to be CPR certified to work at the facility. There is always one person who works in the community that is CPR certified either a Med Tech or staff. S3 stated the Department’s manager does the scheduling and they are aware who is CPR certified and would schedule them to work. Interview statement received from staff (S5) stated, was recently hired at the facility and is CPR certified. There is always a Med Tech on duty for each shift. If there is no Med Tech working at the facility due to call out or vacation the facility will find a replacement. If the facility is having a difficult time finding a replacement, then the Resident Care Coordinator will take over the position.

Per Health and Safety Code, while CPR training is not required for all direct care staff, licensees must ensure there is at least one staff person who has CPR training to be on duty and on the premises of a facility at all times.

The allegation is UNFOUNDED . A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without reasonable basis.

No deficiencies are being cited during today’s visit.