Incident investigation·April 24, 2024

On 04/24/2024 at 12:45 PM Licensing Program Analyst (LPA) Lori Alexander conducted an unannounced Case Management visit regarding an incident of Suspected Elder Abuse (SOC342) that was cross reported to CCLD on 02/23/2024 from Adult Protective Services. LPA met with Executive Director, Joseph Villanueva, and explained the purpose of the visit. The incident report indicated that on 01/25/2024 care staff reported to "Direct" that a caregiver (S1) on 01/23/2024 was yelling at a resident (R1) who is in memory care. The report indicated that S1 yelled at R1 to "be quiet or she would give her a cold shower." The report further indicated that S1 "roughly" placed R1's walker in front of them and told them to "go." LPA interviewed S2 who confirmed the incident and that S1 was placed on paid administrative leave pending further investigation by Human Resources and their Regional Human Resources. S2 stated that during the investigation they substantiated the allegation with the corroboration statements from other caregivers and witnesses in the memory care unit. S2 stated that S1 was terminated on 02/02/2024. No deficiencies issued during the visit. Exit interview conducted and a copy of this report was provided.