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25 | Licensing Program Analyst (LPA) Fernandes-Goes arrived unannounced with the purpose of closing a complaint investigation. During subsequent #21-AS-20220603141110 complaint investigation, Department learned that there are related deficiencies observed during the visits. LPA met with xxxxx. Following items were observed during investigation visits:
LPA observed during resident’s R1 file review and interviews on 6/10, 6/13, 7/7, 7/11, and 8/3/2022, Department learned that facility had a report suspected abuse for resident R1. Facility learned of incident on June 2, 2022 as per administrator Richard Remigio and other staff; at the time of the visit facility had not conducted any investigation. Facility failed to report suspected abuse and/or able to provide investigation documentation. Suspected abuse in addition to incident report that occurred on June 2, 2022 were not submitted to the Department until after complaint visit to the facility conducted on June 13, 2022. (see copy of documentation, LIC 809-D)
In addition, Department on 6/13/22 requested documentation on training for staff S1 & S2 and again on 7/11 and 8/3/2022 LPA emailed and visited facility requesting additional information on training records. Administrator stated that request had been submitted to Jessica Garcia RCD (Resident Care Director); no extra documentation was received until copy of training records were provided on 8/3/2022. Department observed that staff S1 and S2 don’t have all required training as required on Health & Safety Code (H&S). Staff S2 total training hours of 30.25 with 8.15 hrs. being on medication training; training dates are between 10/04/21 and 18/4/22. S1 was hired as caregiver and medication technician on 9/03/21; there is no proof of medication shadowing training with only 8.15 hrs in medication training. Staff S2 was hired as caregiver on 8/30/21; total training hours not identified on training documentation; only 5 trainings on file – Abuse and Neglect, Infection Control, Empathy & Hoyer lift, Elder Abuse & Hydration, and COVID-19 between 12/29/21 and 6/29/22. Department observed that staff S1 and S2 don’t have all training needed as required on Health & Safety Code (H&S). (see copy of documentation, LIC 809-D)
The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided. Appeal of Rights Given. |