complaint·June 13, 2024

The investigation revealed the following: Regarding the allegation “Staff did not seek medical attention for a resident in care,” it is being alleged that on 05/30/2024 staff did not call for help therefore resident had to call ambulance. 6 out 6 resident interviews indicated that staff assist them with medical attention. 5 out 5 staff denied the allegation. 5 out of 5 staff attempted to assist R1 but she refused. 2 staff members indicated that they offered to call for an Uber and take R1 to kaiser but R1 refused; R1 told them that she will call 911 herself. An unusual incident report dated 05/30/2024 states that R1 "has been refusing treatment,” R1 "agreed to go to kaiser for treatment,” moreover both Administrator and Assistant Administrator counselled R1. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. Regarding the allegation “Staff are abusive towards a resident in care” it is being alleged that staff speaks to residents in an aggressive and abusive behavior. 6 out 6 resident interviews denied the allegation. 5 out of 5 staff denied the allegation. R1 is diagnosed with borderline personality disorder and according to her record review and interviews conducted she has a history of verbally fighting with staff and residents. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. Regarding the allegation “Staff discriminates against a resident in care” it is being alleged that due to residents’ medical diagnosis staff discriminates against them. 6 out of 6 resident interviews denied the allegation. 5 out of 5 staff interviews denied the allegation. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. No citations issued at this time. An exit interview was conducted, and a copy of this report was left with the Administrator.