Complaint Investigation Report

[CONTINUED FROM LIC 9099] Review of training records showed that Licensee provided S1 with two (2) hours of training on 05/21/2021 (S1’s first day on the job), led/taught by Staff #4 (S4), before allowing S1 to work alone with the clients as the lone staff for the remainder of that overnight shift. [Per interview of S1, they said they received one (1) hour of training from S4 on their first night on the job (05/21/2021), and one-and-a-half (1.5) hours of training from S4 on their second night on the job (05/22/2021).] By comparison, interview of the administrator and frontline staff tended to show that other caregivers at the facility were typically provided at least forty (40) to eighty (80) hours of on-the-job training/practice before their first day working “live” with the clients (i.e. without a trainer directly shadowing them).

Date and time-stamped electronic correspondence showed: On 05/23/2021, S1 contacted the facility administrator (S5) asking where incontinence products were stored because one of the clients had a urine accident. S1 expressed to S5 that their earlier training was a “speed through,” that they were struggling, and that they desired more communication and training. S5 replied that they usually personally train new hires, but they were personally “not feeling well at all.” Two other sources showed that for at least some point during the following week, S4 and S5 were out of town. Training records showed that on 06/05/2021, S1 received additional instruction on food storage and cleaning (unspecified how many hours).

In their own interview: S1 confirmed that the onboarding training they received from Licensee left them unprepared to meet the needs of clients. For example, S1 cited they did not receive adequate instruction on clients’ physical needs, special diets, how to respond to falls or medical emergencies, or how to effectively manage clients' behaviors and/or resistance to care. S1 said their insufficient training was a primary reason they resigned their position twenty (20) calendar days later. (By the date CCLD received the complaint, S1 had already resigned from employment.)

Based on records and interviews, a preponderance of evidence exists to show that Licensee did not provide 1 of 14 staff (S1) required training. The allegation is therefore Substantiated, and one (1) deficiency was cited for it per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D page). A Plan of Correction was jointly developed with the Licensee.

An exit interview was conducted with Caregiver Elsa Ramirez and Licensee/Administrator Sabrina Snyder, to whom a copy of this report, the LIC 9099-D page, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.