Complaint Investigation Report

Based on staff schedule and interviews for 12/2024 it was revealed staffing is as follows: one medication technician on shift at all times, and 4 caregivers (2 on each side) for the morning shift & evening shift and, 3 caregivers for the entire facility on the nighttime (NOC) shift. LPAs 1/9/2025 interview with staff (S2) revealed the facility has not had regular activities in months. They just started doing activities again recently and don't have a dedicated person for activities. Resident (R1) interview of 12/31/2025 informed there aren't enough staff, especially at night. I have waited 2 hours for staff to assist me after I call. LPA requested call system log from S1 who failed to provide informing function does not work & does not have access to the report. Based on interviews and record review it appears facility does not have sufficient staffing, therefore the allegation Licensee does not ensure facility is adequately staffed to meet residents needs is Substantiated.

A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Civil Penalties in the amount of $250. (1/9/25 & 1/30/25) for 3 rd repeat of same citation provided within the last 12 months.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit Interview Conducted .