Complaint Investigation Report

Staff left resident in soiled linen. - Based on staff and resident interviews conducted, the information obtained did not yield sufficient evidence to substantiate the allegation under the preponderance of evidence standard. Based on lack of evidence, the allegation is UNSUBSTANTIATED.

Staff are not trained properly for transfers resulting in staff dropping resident. - Based on staff interviews and review of facility's unusual or special incident reports (UIR/SIR) submitted to Licensing, no incidents involving a resident falling were identified as them being dropped resulting from inadequate staff training. Based on resident interviews, no resident reported they have been dropped or sustained any falls related to inadequate staff training. Based on the evidence, the allegation is UNSUBSTANTIATED.

Due to lack of staff, residents are not fed timely . - Based on today's interviews with staff and residents, interviews confirmed that meals are provided within a reasonable timeframe during routine mealtimes, including breakfast at approximately 8:00 a.m., lunch at 12:00 p.m., and dinner at 5:00 p.m. Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED.

Due to lack of staff, residents needs are not being met. - Based on a review of the facility’s LIC 500 reports and staffing schedules for August and September 2024, as well as today, records indicate the facility employed and currently employs an adequate amount of staff to meet the needs of residents. Based on interviews conducted, staff and residents reported that resident's care needs are ultimately met and fulfilled, despite occasional inconsistencies in staff's response times. Based on the evidence, the allegation is UNSUBSTANTIATED.

During the complaint investigation, LPA could not find evidence to corroborate the allegations mentioned above. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report (LIC 9099 and LIC 9099-C) was discussed, and a copy was provided to Administrator, Maria Cervantes.