According to Complainant, there was a fire incident that occurred at the facility on 04/10/2022. Complainant stated staff failed to notify Administrator of the incident. The Department interviewed a total of three facility staff (S) and two resident’s responsible party (RP). Interview statement from R1’s RP indicated, S1 had asked RP to call and notify Administrator of the fire incident. RP called and notified Administrator of the incident.

Facility staff failed to call 9-1-1 during an emergency. – Unsubstantiated.

According to Complainant, a fire started at the facility on 04/10/2022. Complainant stated staff failed to call 9-1-1 during the fire incident. Complainant stated staff had requested a visitor at the facility to call 9-1-1. Complainant expressed concerns about how staff had handled the emergency situations. It was discovered during an interview with R2’s RP that a small fire had started in the backyard but was put out rather quickly by RP. RP stated RP is a retired Firefighter. Interview with S1 indicated, during the fire incident S1 was not given the opportunity to call 9-1-1. S1 stated a resident’s daughter was at the facility and had witnessed the incident and had called 9-1-1 to report it before staff attempted to. Interview received from R1’s RP indicated, S1 had asked RP to call 9-1-1 to report the fire which RP did. Interview with Administrator revealed that the fire had started spontaneously, and it was due to the hot weather and the mulch in the backyard. Administrator stated the Fire Department advised the facility to remove the mulch and repair the fence.

Facility staff not adequately trained. – Unsubstantiated.

The Department requested for facility’s fire and earthquake quarterly drills for review. Facility has conducted drills once every three months with direct care staff. Fire and earthquake drills were conducted at the facility on 1/7/2022, 4/3/2022, and 7/2/2022.

The Department requested for staff training records for review. S1 had successfully completed 20 hours of general RCFE staff training, 8 hours of medication, 4 hours of postural supports, and 10 hours of understanding dementia on 1/1/2022. S2 had successfully completed 20 hours of general RCFE staff training, 8 hours of medication, 6 hours of postural supports, and 10 hours of understanding dementia in September of 2021.

Due to the information above, LPA finds the allegations to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.