complaint·December 29, 2022

Based on the department's record review, evidence and interviews, in 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 8 are being cited on the attached LIC 9099D. Exit interview conducted with Laura Hernandez and a copy of this report and appeal rights provided. In regards to the allegation: Resident sustained bruises while in care. Review of R1's medical records indicate R1 has a medical condition resulting in progressive movement which caused R1 to be susceptible to bruising. Interviews with Staff and review of the Individual Services Plan indicate preventable measure were put in place to prevent R1 from bruising due to the medical condition. In regards to the allegation: Staff did not notify resident's authorized representative of incidents. Interviews with Staff indicate the authorized representative is notified if there is an incident with the Residents. Based on allegation details, R#1 had an un-witnessed fall. Hospice notes indicate the authorized representative was notified of the incident. In regards to the allegation: Staff tied resident to the bed. Interviews with 5 of 5 Staff indicate they have never tied a Resident to the bed. Interviews with 4 of 4 Residents indicated they have never been tied to a bed. In regards to the allegation: Staff not meeting resident's hygiene needs. Interviews with indicated Residents are meeting the Resident's hygiene needs. Interviews with 4 of 4 Residents indicate their hygiene needs are being met. Based on LPA's interviews and record review, the investigation revealed: Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview conducted with Laura Hernandez and copy of this report provided.