Complaint·July 21, 2021

provided LPA with R1's family member contact information. On 4/16/20, LPA Gonzalez conducted an interview with R1's family member. On 4/29/21, LPA interviewed R1, Staff 1-3 (S1-3), and attempted to conduct telephone/ video interviews with R3-4 but was unable to interview the residents medical diagnoses. Investigation revealed the following: Regarding allegation, Facility staff hit resident , it is alleged that facility staff have hurt R1 and have punched R1 in their stomach area when R1 has had a Bladder and/or Bowel accident and after such incidents staff subsequently begin to display a change in behavior which make R1 feel scared to the point that they are afraid and plead for forgiveness. Interview conducted with Administrator Martiniana Laureta revealed that facility staff do not hit any of the facility residents. She stated that on 4/5/21, R1 complained of a stomach ache, looked pale and was vomiting. R1 was hospitalized on the same day and had surgery on 4/10/21. R1 was discharged from the hospital back to the facility on 4/11/21. S1-3 stated that facility staff do not hit any resident in care and have not seen other facility staff hit any facility resident. R1-2 stated that facility staff do not hit residents. Interview with R1 revealed that staff have not hit them. Interview with R1's family member revealed that they love the services that their loved one receives at the facility and stated that facility staff treat the facility residents with love and respect. Family member stated that R1 has lived at the facility for over five years and they are extremely satisfied with the wonderful services their loved one receives at the facility and most of all they love that staff treat the residents as if they are family. Family member also stated that they are well aware of what steps to take if they ever believe or think that their loved one is being mistreated or physically abused. LPA attempted to interview R3-4 but was not able to properly interview residents due to residents' medical diagnoses. LPA reviewed Kaiser Hospital discharge documents which consisted of an After Visit summary & discharge instructions dated 4/11/21 that gave the patient (R1) care instructions for procedures performed at the hospital. Based on interviews conducted with facility staff, R1 and R1s family member and LPA review of documents, there was not enough supportive evidence to concur with the reported allegation. For the allegation, Facility staff handled resident in a rough manner, it is alleged that R1 reported that a male and woman staff (Names not given) have applied excessive pressure to R1's bladder and pressed harder when R1 said "it hurts". It is also alleged that the same two facility staff forcefully clean R1 and they have handled R1 in an aggressive manner for example like throwing resident from one side of the bed to the other side on the bed. R1 verbalized how scared they were to return to the facility and stated that they felt scared to disclose to family about the way R1 feels regarding the facility and staff due to it being financially difficult for family to move R1 to another facility. LPA interviewed R1 who stated that facility staff do not handle them in a rough manner and have never handled them roughly. R1 also stated that staff have not hurt them by applying pressure to their stomach area. R1 stated that they never said anything like that and that they like the facility staff. Interviews with facility administrator and S1-3 revealed that facility staff do not handle residents roughly, deny that they apply excessive pressure to any resident's stomach area and also denied being rough with residents when they provide assistance to residents. Interview with R2 revealed that facility staff are very nice and very caring people and they have never seen staff hurt or be rough with any facility resident. Interview with R1's family member revealed that they love the services that their loved one receives at the facility and stated that facility staff treat the facility residents with love and respect. Family member stated that R1 has lived at the facility for over five years and they are extremely satisfied with the wonderful services their loved one receives at the facility and most of all they love that staff treat the residents as if they are family. Family member also stated that they are well aware of what steps to take if they ever believe or think that their loved one is being mistreated at the facility. LPA attempted to interview R3-4 but was not able to properly interview residents due to residents' medical diagnoses. LPA also reviewed hospital discharge documents that state that R1 was in extreme pain and had to have surgery. Based on interviews conducted with facility staff, R1-2, R1s family member, and LPA review of documents there was not enough supportive evidence to concur with the reported allegation. 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 . Due to measures implemented due to COVID-19, exit interview was conducted with Administrator Martiniana Laureta via telephone. A copy of the report was sent via email for signature. A hard copy with signature is on file.