- Date
- 9/16/2024
- Report number
- CALMS - 00071379
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide appropriate staffing
- Result
- Substantiated
- Findings
- Based on interview and record review, during a site visit conducted on November 06, 2024, the facility failed to provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident was substantiated. Findings include, but are not limited to: In separate interviews Staff 1 (ED), Staff 2 (Business Office Manager) indicated staff reported night shift staff had been taking breaks together. Staff 1 reviewed camera system and confirmed this. A review staff communication log revealed on October 01, 2024, general message to all staff “It is against regulations to have staff out of the building together on NOC. 1 at a time only!!!!” The facility failed to provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident was substantiated.