Complaint Investigation Report

.A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiency was cited on 9099-D.

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 was conducted, and a copy of this report was signed and given to the Administrator.

It is alleged that Staff do not ensure residents are changed out of soiled clothing in a timely manner. LPA toured the facility and residents in Assisted Living to be clean and dressed appropriately. Observations of residents in memory care found them to be clean; and resident preferences for attire respected. Call bell records for Assisted Living for 09/7/2024 through 09/10/2024 showed approximately 387 call bells pressed in Assisted Living with approximately 83 call bells that took over 15 minutes to clear; 1 response took over an hour, another over 2 hours and one over 3 hours before call bell was cleared. Although 66% of the call bells were answered in 10 minutes or less on the 3 days studied, 21% were not therefore the allegation that staff do not ensure residents are changed out of soiled clothing in a timely manner 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. The following deficiency is being cited on 9099-D.

**Civil penalty in the amount of $250.00 has been assessed on this date for a repeat violation in the past 12 months for regulation 87411(a) on 03/21/2024.

Deficiencies are cited from the California Code of Regulations (CCRs), Title 22. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Appeal Rights Given .