complaint·October 30, 2024

was advised that the Staff #2 was on vacation and was unavailable to be interviewed again. Per interview conducted with the Executive Director, regarding allegation #1 - staff assaulted a resident in care, on the night of 5/27/22 he received a call from Staff #2 advising him that they observed Staff #1 grab Resident #1 by the right arm and shoved them to the ground. Resident #1 hit their head and sustain a cut above the left eye. The Executive Director came to the facility. Emergency services were contacted and they came out to assess Resident #1 and rendered first aid. The paramedics determined that Resident #1 did not need to be taken to the hospital. Per information provided, Resident #1's physician was notified of the incident and attempts were made to notify the resident's responsible party. A message to call the Administrator was left on the responsible party's voice mail but no return call was received. Per the Administrator, he did not leave a detailed message of the incident for the responsible party since it was bad news. The police was also contacted and they came out to investigate and left a ticket for the incident. The Executive Director spoke with Staff #1. Per information provided, Resident #1 was in their room and wanted to go out. Staff #1 was trying to re-direct the resident who was arguing with them and next thing Staff #1 remembers is that the resident was on the floor. Staff #1 does not know what happened. Per Staff #1, they were turning the resident around and they fell. Staff #1 was suspended and escorted out of the facility. On 6/2/22, Staff #1 was terminated in person. Staff #1 was determined not to be safe around residents. Management took the appropriate steps to mitigate any further abuse of Resident #1 or any other resident, intentionally or unintentionally by Staff #1, Based on the information received there is sufficient evidence to support the allegation that staff assaulted a resident in care, therefore the allegation is substantiated at this time. Deficiencies were cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Immediate civil penalties of $500 was assessed. Exit interview was conducted, Appeals Rights discussed and a copy was provided. was advised that the Staff #2 was on vacation and was unavailable to be interviewed again. Per information received regarding Allegation #2 - Resident's responsible party was not notified of an incident, the Executive Director and facility staff stated that they made attempts to reach Resident #1's responsible party and left a generic voice mail message to call the facility regarding this incident and their calls were not returned by the responsible party. Per the Executive Director, he does not like to leave bad news on a voice mail and prefers to notify family personally. According to information received, the responsible party does a lot of traveling and is not always available or is out of town for business and is very difficult to get a hold of. However, the responsible party denies receiving any calls regarding this incident. Based on the information received, there is insufficient evidence to support the allegation that the resident's responsible party was not notified of an incident, therefore the allegation is unsubstantiated. Exit interview was conducted and copy of this report was provided.