Complaint Investigation Report

-On 08/16/2022 per LIC9099 and LIC9099-C, “-All training records for all staff in 2021 that cover the subject of Dementia care, Medications, Feeding, transfer care, feeding assistance, and Hoyer lift training.” was made on this report.

No training records were produced by the licensee until the date of 08/19/2022, over year and three months past the initial request for records. In this submission of training records, the only record of medication training the Licensee submitted was for staff S4 who had: 1 hour of training in, Minimalizing Medical Errors, dated 09/17/2021; 1 hour of training in, Assisting with self-administration of medication: Guidelines, dated 01/01/2021; 1 hour of training in, Medication Documentation for California, dated 07/19/2022.

All the training listed above was completed after the date of incident related to this complaint, subsequently there is no evidence that any staff was properly trained to administer medications during the time of the allegations to this complaint. Interviews of Staff 1 – 6 confirmed that all staff interviewed passed medication to residents in care and that is a normal practice of the facility. Based on interviews and documentation the allegation of, “Staff are not properly trained to give medication.” Is substantiated at this time. No citation issued on this report, as this was cited today under 29-AS-20210505113111.

As to the allegation of, “Facility is not in good repair.” It was discovered though documentation, interviews, observations, and photographic evidence that the facility floor is in disrepair. It was observed by the Licensing Program Analyst (LPA) Jeffries on 08/16/2022, on the first floor it was observed in the main living/dining/entrance area that several planks of laminate flooring are separating from each other and need repair or replacement. It was observed by LPA on 08/16/2022 that the first bedroom to the right on the first floor also had laminate plank flooring that were separating and in need of repair or placement. On 08/16/2022, LPA observed in the hallway of the first floor several areas where the planking is separated. On 08/16/2022, LPA observed on the second floor kitchen area next to the sink where an attempt to repair the loose laminate planking were screwed in by approximately six wood screws, however the planks were still separated and the floor in an area in front of the sink would fall 1”-3” inches when LPA walked over that area of the floor, approximately 40 square feet of flooring bowed 1”-3” in front of the upstairs sink.