Complaint·September 25, 2025

Allegation: Staff physically abused resident. The complainant alleged that staff physically abused R1 by pushing and shoving, causing R1 to fall and resulting in bruising and the inability to walk independently. On 05/08/25 at approximately 11:30 am, Investigators Christine Ferris and Jorge Rojas conducted an interview with S1 at the facility. At approximately 12:40 pm, the investigators conducted an interview with R1 at the hospital. The interview with R1 included statements that a female staff member had shoved R1’s foot into a pair of small-sized slippers and hit R1 with a wet washcloth. R1 stated that these incidents occurred four to five years ago. R1 refused to disclose the identity of the staff in question. The interview with S1 included statements that R1 was hospitalized for kidney stones. S1 said that R1 had advised S1 that R1 had filed a complaint because S1 had not visited R1 in the hospital. S1 advised that R1 had mild cognitive impairment and that R1’s condition had been progressively deteriorating both mentally and physically. S1 stated that R1 had not suffered any falls while at the facility. On 09/03/25 at approximately 3:00 PM, LPA conducted interviews with six (6) of 6 the residents. Residents' interviews denied the allegations. Interview with Staff#1(S1) and Staff#2(S2) included statements that since R1's admission to the facility, R1 was non-ambulatory and was wheelchair bound. On today's visit at approximately 11:00 AM, LPA conducted a review of R1's Appraisals, and the Physician's Report stated that R1 is unable to walk without assistance and R1 has Motor impairment/Paralysis. The information obtained during interviews conducted by the IB Investigators, as well as interviews and file and document reviews conducted by the LPA, did not corroborate the allegation of physical abuse from facility staff towards Resident 1(R1). Although the allegation may have happened or is valid, there is no corroboration that the alleged violations did or did not occur. The allegation is deemed unsubstantiated per Title 22 Regulations, Division 6, Chapter 8. Allegation: Staff financially abused resident. The complainant alleged that staff had asked R1 for money and for R1 to purchase property for the staff. Money belonging to R1 had disappeared. Staff have access to bank accounts belonging to R1, and the accounts are now locked or frozen, preventing R1 access. To investigate this allegation, LPA conducted staff and resident interviews. LPA also obtained a copy of the Admission Agreement, Identification and Emergency Information, Physician Report, and Resident Appraisals. Record Review indicated that the licensee will not be responsible for any cash resources and that R1 was responsible for his/her financial affairs and payments for the facility. Interviews with two residents out of 6 denied the allegation. LPA attempted to interview 4 residents. Interview with 5 out of 5 staff members also denied the allegation. Based on information obtained, the allegation is deemed Unsubstantiated at this time. Exit interview conducted, and a copy of this report signed and delivered.