complaint·June 3, 2025

Staff handled resident in a rough manner resulting in an injury. It is alleged that the staff handled a resident in a rough manner resulting in injury, and it is the concern of the reporting party (RP) that staff (S1) was rough with residents while assisting in transferring from one place to another. The residents’ interview revealed that S1 has been rough with them during the time they have been residing at the facility. The residents stated that S1 is rough while transferring from the bed, while waking them up and at other times of the day. The residents showed the LPA with hand gestures how S1 had been rough by poking at their chest while trying to wake them up, pushing the food table against their legs and causing bruises. Residents showed the LPA the bruises caused by the food table pushed against their legs. Furthermore, one resident stated that they were afraid to go to sleep because they feared that staff would attack them at night. LPA Urena reviewed residents’ records and observed that three out of six residents are non-ambulatory and may require assistance with transferring from bed to either a chair or to a walker. The LPA interviewed the staff about the allegation and the staff denied being rough or causing any injuries. The LPA interviewed the Administrator about the allegation and the Administrator stated that they were not aware of unprofessional or abusive behavior from the staff to residents. Based on the information obtained through residents’ interviews, record review and observation of the bruises, there is sufficient evidence to prove the staff handled residents in a rough manner. Therefore, the allegation is deemed Substantiated at this time. Pursuant to Title 22, California Code of Regulations (CCR), the following deficiencies were cited (refer to LIC 9099-D). Exit interview was conducted. Copy of the report and Appeal Rights were issued.