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13 | On 2/16/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced visit to deliver findings for the above allegation. LPA met with Administrator Ollie Vance. LPA explained the purpose of the visit.
Regarding the allegation of insufficient staffing to meet resident needs, the reporting party (RP) stated that August 21, 2021, he/she walked into the facility and there were two caregivers for thirty-two residents.
LPA Ng conducted interviews with staff members and four out of four mentioned that there is not insufficient staffing in the facility. Two of these staff members, S1 & S2, stated that there are always four caregivers scheduled in a shift. S1 also mentioned that if a staff calls in, management will call the agency to send a replacement. Usually, the replacement could come on time if the staff calls in earlier. Another staff member, S3, mentioned that Med-Techs act as managers on weekends when there is no manager on duty.
LPA Donato also observed the facility to be a 2-story building. Also a sunroom which is accessible by passing through the dining room.
LPA Dolores also did a records review of the facility schedule, and it showed that on the weekend, for the morning shift which is 7am-3pm and evening shift which starts at 3pm till 11pm, there are four caregivers scheduled. For the night shift, 11pm-7am, there are 3 scheduled staff.
Based on interviews, observations and record reviews, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
The report was reviewed, and a copy is provided.
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