complaint·July 24, 2023

At today's visit interviews were conducted with Staff S2 and Resident's # R 2- R 4 from 930AM to 10:10 AM. Interviews with Staff S 2 and Resident's 2-4 were done telephonically with Licensing Program Analyst (LPA) Nune Margaryan acting as translator in the Armenian language with R2-R 4 who were Armenian speaking. Investigation included the following: Interviews with staff, residents, family member of Resident R 1 and video of the incident inside Resident R1's room. In regards to the allegation Staff hit resident, video footage was obtained that shows Staff S 1 hitting R1 with a pillow and placing the pillow over the resident's head, calling the client an "asshole" and threatening the resident with physical restraints. Video obtained by family member of R 1 who stated that the incidents occurred between May 3 and June 1, 2022. Based on LPA's interviews and record review, the investigation revealed the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D. In regards to the allegation Staff covered resident's face, video footage was obtained that shows Staff S 1 hitting R1 with a pillow and placing the pillow over the resident's head, calling the client an "asshole" and threatening the resident with physical restraints. Video obtained by family member of R 1 who stated that the incidents occurred between May 3 and June 1, 2022. Based on LPA's interviews and record review, the investigation revealed the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D. In regards to the allegation Staff threatened resident with harm, video footage was obtained that shows Staff S 1 hitting R1 with a pillow and placing the pillow over the resident's head, calling the client an "asshole" and threatening the resident with physical restraints. Video obtained by family member of R 1 who stated that the incidents occurred between May 3 and June 1, 2022. Based on LPA's interviews and record review, the investigation revealed the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D. the alleged violation did or did not occur, therefore the allegation is unsubstantiated. In regards to the allegation Staff does not ensure that COVID masking protocols are followed, LPA on facility visits 06/14/2022,10/05/2022 and today's visit 06/22/2023 observed staff wearing masks and the facility being equipped with a 90 day supply of PPE. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. In regards to the allegation Staff had inappropriate interaction with a resident, interviews with staff who stated that there has not been inappropriate interactions such as massages being done by staff to residents and nothing inappropriate. Resident's R2- R 4 stated that there has not been any massages or any inappropriate interactions with staff and resident's. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. In regards to the allegation Facility smells like cigarette smoke, LPA on facility visits 06/14/2022,10/05/2022 and today's visit 06/22/2023 did not smell any cigarette smoke and did not see any cigarette buds or ashtrays at the facility. Interview with Resident's R2-R4 who all stated that no resident or staff are smoking at the facility and there has never been a smell of smoke at the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.