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32 | On 12/22/2025, LPA interviewed Executive Director (S1), who stated the facility experienced issues involving emergency call pendants during December and replaced affected equipment. S1 stated unresolved call entries may occur when staff physically respond to residents but do not electronically clear the alert. S1 stated the facility utilized escalation monitoring intervals of approximately 5, 10, and 15 minutes, with front desk staff contacting caregivers when alerts remained active.
On 02/05/2026, LPA conducted functional testing of six resident emergency call pendants for R4, R5, R6, R7, R8, and R9 in multiple areas of the facility, including the activity room, dining room, and resident hallways. Observed staff response times ranged from approximately 2 to 8 minutes. LPA interviewed residents R4 through R12 regarding staff response to emergency call pendants. 5 out of 9 residents interviewed (R4, R5, R7, R8, and R9) stated staff generally responded within several minutes after activating the emergency call pendant. R6 reported prior pendant relay concerns and stated the pendant had been repaired or replaced multiple times. R10 and R11 stated staff generally responded within approximately 5 to 8 minutes. R12 stated he had not used his emergency call pendant since admission to the facility.
On 02/26/2026 and 05/27/2026, LPA interviewed 4 facility staff (S3, S4, S5, and S6), who stated residents activating pendants often require assistance with activities of daily living and mobility assistance. Staff stated unresolved call log entries do not indicate staff did not physically respond to residents because alerts may remain uncleared if staff did not electronically clear the pendant or if the pendant was not responding properly.
Based on interviews, record review and LPA observations, 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.
No deficiencies were cited during today's visit based on the California Code of Regulations (CCR) Title 22 and a copy of the report was provided to Executive Director/Administrator Minnie Weber.
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