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supported the current status quo. Linda Lingle, however, stated she would support unannounced <br />inspections— and won over many senior advocates in the audience. <br />Linda Lingle was elected Governor and we happily waited for Dr. Anderson's policy directive to be <br />enforced. And once again, it never happened. Instead of an "unannounced" annual inspection, Lingle <br />continued the current policy but, as a concession, also added an annual "unannounced" visit. This <br />meant she doubled the surveyors' workload without doubling their staffing ... and they have fallen <br />behind in the mandatory inspections ever since. <br />The "unannounced" visits reveal which homes are providing substandard care BUT these visit reports <br />are not accessible to the public. The Department knows better than anyone, because of these visits, <br />which homes really should be closed down but if they do, dose down a home, where do they place the <br />residents being displaced? And since some of these homes will sue, the Department needs to make <br />sure they did everything by the book and all their documentation is in order. It's so much easier to <br />just pretend not to know. <br />We've spent close to 20 years trying to get the Governor, the Legislature and the Department of <br />Heath to require real, honest "unannounced" inspections. Get rid of the annual visits so state <br />surveyors can focus on the inspections. Gov. Abercrombie signed that law but it's still being fought <br />by the Department of Health. Read the Department's 2018 Report to the legislature where they <br />recommend "Delay by two (2) years the effective date of conducting unannounced annual inspections <br />until July 1, 2021, while more data is gathered on outcomes of unannounced visits. Continue with the <br />current procedure for annual inspections for purposes of license and certification renewals." <br />This same report also states "The department shall conduct unannounced visits with greater <br />frequency in addition to the one (1) mandatory unannounced visit as currently allowed in statute. This <br />may require additional staffing resources or, without additional staff, would require prioritizing <br />unannounced visits higher than announced annua/inspections " NO!! Failing a "visit" has no <br />consequences and the public can't review these visit reports prior to placing a loved one in that <br />home. This is backward thinking. We need REAL UNANNOUNCED inspections. Drop the visits so you <br />have sufficient staffing to do the job correctly. <br />Gov. Ige has attended every Older Americans Month luncheon since being elected and has made a <br />commitment to protect our most vulnerable seniors. Twenty years ago Dr. Anderson tried to improve <br />the care and protection of our seniors but he was unsuccessful. He now has a second chance and <br />with the State Auditor's Report, he has the documentation needed to make substantial improvements. <br />Let's get this job done! <br />®hoY G. 9 c®ero£ , LSW,, ACSW, N. Div <br />State Long -Term Care Ombudsman <br />Executive Office on Aging <br />No. 1 Capitol District <br />250 South Hotel Street, Suite 406 <br />