Complaint Investigation Report

It was alleged that the facility does not have sufficient staff to meet the needs of the residents due a staffing ratio observation on 05/04/2024. On 05/04/2024, a witnessed observed the facility only had 2 staff members to 6 residents around 2:00PM, while R1 required a 1:1 staff.

Based on interview with the Administrator, R1’s 1:1 staff is not included in the direct care staffing ratio. The review of the direct care staff schedule indicates that 3 staff were expected to work from 8:00am – 7:00pm, making R1’s 1:1 staff the 4th person.

The review of the facility staff time cards shows from 6:00am – 2:00pm = 2 staff were working; 2:00pm – 3:30pm = 3 staff were working; 3:30pm – 4:00pm = 2 staff were working; 4:00pm – 7:00pm = 3 staff were working.

Based on record review and observation, the facility had the expected 3 direct care staff from 2:00pm – 3:30pm and 4:00pm – 7:00pm, leaving only 2 direct care staff from 6:00am – 2:00pm and from 3:30pm – 4:00pm.

The review of R1’s 1:1 staffing schedule indicates that the ADM was assigned as R1’s 1:1 staff from 6:00am – 2:00pm and staff (S2) was assigned as R1’s 1:1 staff from 2:00pm – 10:00pm.

Based on interview with the ADM, ADM and S2 are salary employees and are not required to fill out a timecard for each shift. ADM states to be working at the facility as R1’s 1:1 staff on 05/04/2024. LPA attempted to interview S2 but was unsuccessful.

The Department has investigated the above allegation. Based on interview, record review and observation the above allegation is unsubstantiated. An unsubstantiated finding indicates that although the allegation may have happened and/or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Designated Administrator, Anelise Teodoro and a copy of the report was provided.