Complaint Investigation Report

care staff working in the Memory Care unit on a daily basis. When the change occurred, NOC staff were instructed by management to wake Memory Care residents beginning at 4:00AM. Staff and resident interviews revealed that some residents wake on their own, but the majority of residents are woken up in the morning. After waking the residents, staff then assist the residents with their Activities of Daily Living prior to breakfast time. Staff indicated that there are 3 care staff scheduled at a time during the morning and evening shifts and there are 29 residents currently in memory care. Therefore, each caregiver has 9 or 10 residents to assist during their shift. Interview revealed that residents do not wish to be woken up early and staff stated residents are difficult to wake. Based on interview and record review, the allegation that " staff are violating residents' personal rights" is deemed SUBSTANTIATED at this time.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D):

Exit interview was conducted with ED Andersen. A copy of the report and appeal rights were provided via email.