It was also alleged that unqualified staff is providing care and supervision. During staff interviews on 10/21/21, it was revealed that when a new staff is hired, they spend about one (1) week and a half training on the computer watching videos. Afterwards, they follow another staff member for about five (5) days to observe the duties, roles and responsibilities of the job. In accordance to Heath and Safety Code 1569.625, the department shall adopt regulations to require staff member of residential care facilities for elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 10 hours of training within the first four weeks of employment and four hours annually thereafter. The training shall include, but not limited to, the following: Physical limitations and needs of the elderly, importance of techniques for personal care services, residents’ rights, policies and procedure regarding medication and psychosocial needs of the elderly. LPA reviewed the California Direct Care Orientation Training Verification page received from the facility admin on 01/03/22. The training page is for new staff and states it must be completed before working independently with residents: 9.5 hours of General Caregiver Training, 12.5 hours of Dementia Training, 4.25 hours of Restricted Health Conditions, Postural Supports and Hospice Care. Additionally, page 2 stated that the following training must be completed within four weeks of employment: 16 Hours of Hands-On Skills, and First Aid and CPR Certification. LPA Ascencio reviewed staff files on 10/26/21 and it was revealed that staff members have their required training hours to be able to work independently with residents. Based on evidence gathered, the allegation is deemed unsubstantiated.

Continued on LIC 9099-C

It was also alleged that Residents are left in soiled diapers for extended periods of time. Interviews with residents on 10/21/21, 10/26/21 and 12/13/21 revealed that the staff help assist residents to use the restroom when the resident push their pendant. Interviews further revealed that it is on rare occasions that residents have to wait for staff to help them out. Interviews with staff on 10/21/21 revealed that staff check in resident about three (3) times a day or about every two (2) hours during their shift. Resident push their pendent, the staff respond to it as soon as possible by walking to the resident apartment and assisting them. Further interviews revealed that the majority of resident don’t require as much help but those that do, are kept in a two (2) hour check in or as needed for toileting needs. Interview with Resident #1 (R1) on 12/13/21, revealed that one-time R1 had to wait about one (1) hour and thirty (30) minutes before someone came up to assist. R1 complaint to the administrator for what had happened. R1 states ever since that day, R1 has not had any issues with staff coming to assist or waiting for toileting needs. Although the allegation may have happened, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time.