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32 | Facility does not have enough staffing to meet residents needs.
During the interview process, staff stated when a care staff finds out they are by themselves, no showers, no laundry, no two person transferring, no toileting and the facility smells from the unchanged residents when the a.m. shift comes in. It was reported the one-hour checks are not getting done when we have call outs. Staff stated I have to skip showers and laundry when we have sick calls. Staff stated I had one care giver for morning shift, for 3 days in a row, one care staff for 40 residents. Staff stated its usually during the weekends when we get staff calling off with no back up. Staff stated the residents are not changed in time, the two-hour resident checks are not completed, when two people assist is needed we can’t shower some residents. Staff stated we cannot put eyes on all of the residents in a timely manner.
Document review revealed several days a week with sick calls or no shows.
Based on investigation observations, record review(s) and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, (Title 22), is cited on the attached LIC 9099D. Appeal rights were explained and provided to the facility representative listed above and exit interview conducted. If any of the cited deficiencies are not corrected by the noted due date, civil penalties may be assessed. |