Senior Care Records.

Complaint Investigation Report

South County Retirement Home INC., San Martin06/22/2023Licence 435294143

Census46
Date signed06/22/2023 04:55:19 PM
The inspector’s account

Facility administrator falsifies training records

The allegation stated th e facility administrator falsifies the staff training records and puts the fake records in the staff files. During record review of staff files and training logs, LPA observed the training logs from 2013-2023. LPA observed either an RN, Administrator Sam Apostle or a third party vendor was providing facility staff training. The training logs which captured the staff signatures were made with different color ink and different signatures.

Staff did not notify resident's authorized representative of residents fall

The allegation stated the Resident (R1) had a fall on 8/13/22 and the staff also did not notify the resident's authorized representative that the resident fell. A staff member called the resident's authorized representative on or around 8/15 or 8/16/22 to let the authorized representative the resident was being sent to the hospital. During today's visit 6/22/2023, LPAs interviewed ADM and ADM stated the family was notified about the fall via phone call and does not have written record of the call.

The Department has investigated the above allegations. Based on LPA inspection, observations, records review, interviews with AD, staff, and residents, the preponderance of evidence standard has not been met therefore the allegations are UNSUBSTANTIATED. Meaning although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Samuel Apostol and a copy of the report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction