Complaint Investigation Report

The investigation revealed the following:

Allegation: “Insufficient staff resulting in staff not checking on residents”, it is being alleged that caregivers are not checking in on residents during pm shift and overnight hours. Interviews conducted with R1 to R8 revealed the following: 8 out of 8 residents disagree with the allegation. Interviews conducted with S1 to S7 revealed the following: 4 out of 3 staff agreed with the allegation. Records reviewed revealed the following: Upon review of the Staff Schedule from February to April 2025 for the PM shift that starts from 2:30 PM to 10:30 PM it depicts that 2 caregivers and 1 medical technician are on shift but through close review of documents LPA Leandro observed that only 1 caregiver and 1 medical technician were on shift. Upon review of the Staff Schedule for the months of February 2025 to April 2025 for the NOC shift starts from 10:30 PM to 6:30 AM it depicts that 1 caregiver and 1 medical technician are on shift, however through close review of the documents, LPA Leandro observed that for 8 days in the month of February 2025 there was only 1 staff were on shift and for the month of April 2025 there are 4 days were only 1 staff is scheduled and there are 4 days were there are no staff scheduled. Records review of the Rancho Vista Senior Living Census 2025 in the Assisted Living Unit demonstrates that there are 41 residents in that unit. Interviews conducted with staff indicated that from the 41 residents there are 10 residents who require incontinence care.Substantiated: Based on LPAs interviews and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

An exit interview was conducted, a copy of this report was left with the Sales Director, Alma Chavez along with their appeal rights.