complaint·August 29, 2024

The investigation revealed the following: Allegation: Staff did not obtain residents permission to change residents medical provider. It is alleged that staff dis-enrolled R1 from their primary care physician and made changes for R1 to have a new care provider without R1's consent. LPA Herrera reviewed R1's file and there were no indications that the provider was ever changed and the same provider appeared to be listed throughout R1's admission at facility. LPAs interviewed 3 staff, all of which denied the above allegation. Staff stated that they are are not authorized to make such changes and only residents have the authority to do so. Staff #2 (S2) stated that they will assist residents (if needed) when they are looking for care providers, however, only the residents are able to make the changes. All 3 staff stated that R1's care provider was the same from enrollment until their departure from facility. LPA Konishi interviewed 8 Residents and 8 out of 8 residents denied the above allegation, and stated that staff have never changed their health care provider at any point. Allegation: Staff financially abused resident in care. It is alleged that S3 stole $10 from R1 on 12/30/2023 for medications that R1 needed to pay a co-pay for. LPA Herrera reviewed R1's file and all fund deposits and withdrawals were documented and signed for by R1 on the Record of Resident's Safeguarded Cash Resources Form (LIC405). LPA also reviewed a Narrative Charting with the communication log between staff and R1 on reminders of funds needed to purchase medication, as there was a co-pay due, resident refused to pay for medication. LPAs interviewed 3 staff, all of which denied the above allegation. During interview with S3, staff stated that they have never stolen money from a resident, they do not handle resident funds and only administer medication. Interviews with S1 and S2 revealed that R1 was self responsible and handled their own funds, the only reason for the LIC405 was because R1 would write personal checks to facility for facility to exchange for cash, staff stated that they are the only staff with access to resident funds and document each time residents deposit/withdraw funds. Interviews with 3 staff also revealed that law enforcement investigated allegation, however, it was dismissed and no police report was generated. LPA Konishi interviewed 8 Residents, 6 out of 8 residents denied the above allegation, 2 out of 8 stated that they have lost belongings but have never had proof to report a stolen item/money as they have a foggy memory of what may have occurred. Based on statements and interviews conducted with staff and residents, and review of R1's file, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview held, and a copy of this report was provided to Administrator Gemma Deoso.