complaint·February 5, 2025

Regarding the allegation: Staff hit resident in care. It is being alleged that one (1) of the nurses flicked a finger on resident #1 (R1)'s head. During the review of R1' file, LPA discovered that this incident occurred June 04, 2023. It was reported to the Ombudsman, West Valley Police and Community Care Licensing Department (CCLD) on June 05, 2023, through a SOC 341 report. The West Valley Police was called the day of the incident June 04, 2023. An Unusual Incident/Injury Report was also provided to CCLD. LPA interviewed R1, and R1 was able to tell LPA what happened and mentioned it was a long time ago. LPA interviewed nine (9) other residents that confirmed Staff #1 (S1) and Staff #2 (S2) have never hit them. LPA interviewed S1 and S1 remembers the day of the incident because they were accused of hitting a resident which could not have happened because they worked in a different area of the facility that day in memory care and not in assisted living where R1 resides. When LPA interviewed staff #3 (S3), S3 confirmed that the incident occurred a long time ago and the incident was not proven to be true, and all documentation was reported. Based on the LPA's observations and record reviews, staff and resident interviews conducted the allegation is UNSUBSTANTIATED at this time. Regarding the allegation: Staff did not attend to resident's toileting needs in a timely manner. It is being alleged that resident #1 (R1) is sitting in their own urine and feces all day. During LPA's interview with R1, R1 stated the caregivers only change them about three (3) times a day. During LPA's record review, LPA discovered that R1 is under the care of Orange Home Health for both medical and physical therapy. LPA obtained the Home Health schedule of R1. During LPA's physical tour, LPA observed R1 receiving services from Orange Home Health. During LPA's interview with two (2) staff, it was confirmed that R1 because of their incontinence, R1 gets changed several times a day and R1 can also request more incontinence changing if they need it. LPA interviewed nine (9) residents that confirmed their toileting needs are met in a timely manner. Based on the LPA's observations and record reviews, staff and resident interviews conducted the allegation is UNSUBSTANTIATED at this time. LIC 9099C-continued Regarding the allegation: Staff did not safeguard resident's personal belongings. It is being alleged that resident #1 (R1)'s clothes have been stolen. During LPA's record review of R1, LPA obtained the Client/Resident Personal Property and Valuables sheet from their file with their signature. During LPA's physical tour, LPA cross-referenced the items on the sheet with what was in R1's room. LPA took pictures of different items in R1's room. LPA also took pictures of Amazon packages that have been delivered to R1. LPA interviewed R1, and R1 stated they order a lot of items from Amazon and have a lot of clothing but don't know where their clothing is located in the room. LPA interviewed nine (9) other residents that confirmed they do not have any issue with the safeguarding of their personal belongings. LPA interviewed one (1) staff that confirmed that all Client/Resident Personal Property and Valuables sheet are obtained during resident intake and throughout their stay. Based on the LPA's observations and record reviews, staff and resident interviews conducted the allegation is UNSUBSTANTIATED at this time. An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the Resident Care Director..