Complaint·November 21, 2023

***report continues from LIC9099*** On 6/17/23 contracted care staff (S1) left C1’s room to get C1’s dinner. When S1 was returning to C1’s room she heard C1 yelling. Upon arrival S1 observed that C1 had a bump on her left forehead and a bruise on her left orbital. S1 called for back up and several facility staff arrived to assist. Staff applied an ice pack to C1’s forehead. C1 was not taken to the hospital per hospice order. S3 called Alameda Police Department (APD) who arrived at the facility and attempted to interview C1. C1 refused to be interviewed. On 7/27/2023 APD returned to the facility and interviewed C1. When asked about her injuries C1 stated that a “big and white” person did it but was unable to elaborate. APD confirmed through staff interviews that C1 does not have any “white” caregivers. On 8/07/23 the department went to S1’s apartment to perform a follow-up interview. When asked how did S1 think C1 sustained her injuries S1 stated that since C1 was lying on her right side facing the bedrail when she left to get dinner C1 probably bumped her head against the bedrail. Staff now place a pillow between C1 and the bedrail and there have been no further injuries. Interview with C2 who lives across the hall from C1 revealed that he often hears C1 “yelling and screaming” and that it is “a normal occurrence” for C1. The Department has investigated the allegation that the facility did not provide adequate supervision which resulted in resident being abused while in care. We have found the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted and a copy of this report provided.