1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | (Continuation from LIC9099C1)
An interview with S1 confirmed that R1 has a tag alarm that clips onto the clothing. S1 reported that due to R1’s frequent falls, the facility was attempting to reduce the potentiality of R1 falling by implementing the tag alarm. S1 stated that R1’s responsible party did not report concerns to facility staff utilizing the tag alarm. On 06/06/2026, LPA Flores observed R1 stand up from the rollator seat and began walking away from the rollator. When the tag alarm was activated, it triggered an alarm that nearby staff can hear. LPA observed Staff #2 (S2) approach R1 and encourage R1 to grab onto their rollator but R1 ignored S2’s attempts of redirection. (3) Three subsequent visits were conducted after the initial visit on 06/06/2026, where LPA did not observe R1 to be utilizing the tag alarm. LPA attempted to interview R1; due to R1’s cognitive ability, the interview attempt was unsuccessful.
Information received alleged staff are not providing a comfortable environment to R1. An interview conducted with R1’s responsible party reported that facility staff never divulged to R1’s responsible party that staff of the opposite sex would assist R1 with dressing, bathing, or toileting. R1’s responsible party reports that on 5/31/2026, R1’s responsible party learned that Staff #3 (S3) assisted R1 with self-care needs and expressed feeling uncomfortable to managing staff. R1’s responsible party reports that staff have made accommodations since reporting concerns to staff but is not sure if the preferences are being enforced throughout every shift. Interview with (3) three staff report that since learning concerns from R1’s responsible party, the facility has made accommodations by providing selected residents to receive care from specific staff only. Interviews with Staff #4 (S4) reports that each care staff are assigned to set resident bedrooms and will rotate weekly. When the residents are known to have a specific staff preference, coordination will occur to switch off a resident to ensure the workload is equal. S4 reports that the accommodations are provided for every shift. LPA attempted to interview R1; due to R1’s cognitive ability, the interview attempt was unsuccessful.
Therefore, the allegation of staff installed a camera in resident's room, staff placed a tag alarm on resident in an inconvenient place, and staff are not providing a comfortable environment for resident are deemed unsubstantiated. Unsubstantiated means the preponderance of evidence standard has not been met.
An exit interview was conducted with Medication Technician Lead Aileen Padilla, and a copy of this report was provided to Business Office Manager Nicole Anguiano. |