So who trained DSS?

It is very obvious from the deficiencies recently posted on DSS’ website that something is wrong at the States' licensing offices. The problem appears to be inadequate staff training—from management to analysts—on how to cite, what to cite, citing the correct regulations for the specific type of facility, and citing “I want” rather than “it is required.”
Are deficiencies deserved by some facilities? Yes, of course. I wish I could say no, but unfortunately some facility owners just don’t care. A facility in Orange County was recently cited for having numerous broken closet doors that could not be opened or closed as handles were missing; broken bedroom doors that did not open properly; broken exit gates on the property that would not open (in case of fire); dirty kitchen cupboards with broken doors tied together to stay closed; a broken oven door tied with fabric to prevent the door from falling off; and dementia residents not being assessed for over four years. What possible excuse can justify this? Laziness? SSI clients? Apathy? It can’t be ignorance, can it? There is no excuse!
Simple principle—if it’s broken, fix it!! Why delay? What image does this present to families, staff and, of course, residents?
Be your own advocate. Appeal everything. It is rare that an analyst cites accurately, thoroughly, and legally. If you are not comfortable doing appeals, you just can’t let deficiencies go and then get angry when you read them on CCLDs website. More and more consumers are shopping “advocates’” websites and believing Yelp, Facebook and other sites “confessions” about facilities as truthful.
We do appeals and refuse to lose. Our last one is now at DSS in Sacramento with formal complaints being investigated—three LPAs showed up at 3 am and insisted to be let in to “wrap up an old complaint." Really? Three am? That same facility was asked to attend a noncompliance conference, but were thrown out of the conference after two minutes of discussion. Abusive to say the least.