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32 | facility staff. It was learned that upon activation, a signal would be sent to the front desk notifying them that a resident required assistance indicating the room number. Facility staff were then supposed to respond to the request or, in the event that they were assisting another resident, call out to their peers for assistance in order to properly respond in a timely manner. It was learned that residents were left to simply wait until facility staff were able to get to them before resetting the pendant or pull cord to signal that they had responded.
Based on a review of the forms and documents provided by this facility for the call logs and response times of the facility staff, it was learned that facility staff did not respond in a timely manner. Call logs dating back to November 2021 until January 2022 revealed that facility residents would sometimes have to wait up to 20 minutes before facility staff were able to respond to their calls for assistance. In addition, there were response times from facility staff which even exceeded 30 minutes before responding to the call buttons from the residents.
Based on interviews conducted during the course of this investigation, it was learned that residents' belongings were reported missing or stolen to the facility Administrative staff on numerous occasions. It was learned that money and personal items were taken out of residents' personal bedrooms which was also reported to the facility Administrative staff as well. Based on a review of facility forms and documents, it was learned that several incident reports, and SOC 341s, were filed on the behalf of facility residents stating that their personal belongings were not properly safeguarded while under the care of this facility and were stolen or went missing. Several police reports were also filed with tracking numbers issued through the Manteca Police Department.
As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.
The following deficiencies were cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes.
Appeal rights were printed, reviewed, and a copy was left with the facility designated Administrator at this time.
Exit Interview |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Deficiency Dismissed
Type B
05/02/2022
Section Cited
CCR
87464(f)(4) | 1
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7 | Basic services shall at a minimum include:
Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. | 1
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7 | The facility designated Administrator stated that facility staff shall be sufficient and able to meet the needs of the residents at all times. Training, for no less than (1) hour in duration, will be conducted and completed for all facility staff providing care and supervision to the residents at this time. The topic shall cover the policies and procedures for this facility's |
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14 | This facility did not meet this requirement as evidenced by not following the assistance and care needs of the residents as indicated in their pre-admission appraisal for proper hygiene care. This presented a potential threat to the Health, Safety, and Personal Rights of the residents in care. | 8
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14 | hygiene and ADLs delivered to the residents in care. A statement of correction, along with proof of training topic, trainer information, and list of attendees will be completed and submitted into CCL by the due date of 05/02/2022. |
Deficiency Dismissed
Type B
05/02/2022
Section Cited
CCR
97464(f)(4) | 1
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7 | Basic services shall at a minimum include:
Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. | 1
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7 | This was previously investigated and cited on 04/25/2022 and even though the allegation was substantiated, no deficiency will be cited. |
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14 | This facility did not meet this requirement as evidenced by not following the assistance and care needs of the residents as indicated in their pre-admission appraisal for assistance in meals and eating. This presented a potential threat to the Health, Safety, and Personal Rights of the residents in care. | 8
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14 | |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Deficiency Dismissed
Type B
05/02/2022
Section Cited
CCR
87217(b) | 1
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7 | Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff.
This facility was observed to be deficient as evidenced by the reports of several thefts and loss suffered by several residents while under the care and supervision of this facility. | 1
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7 | This was previously investigated and cited on 04/25/2022 and even though the allegation was substantiated, no deficiency will be cited. |
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14 | This posed a potential threat to the Health, Safety, and Personal Rights of the residents in care. | 8
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