complaint·May 1, 2023

The investigation consisted of the following: Allegation #1: Questionable death It was alleged R1 was badly beaten while in care at the facility and passed away shortly after possibly due to R1 injuries. IB Investigator Peter Zerrtuche obtained and reviewed R1 Death Certificate on 10/20/22 and the review revealed; R1's cause of death was listed as prostate cancer with no other factors related to R1 death. The date and time of death was 05/01/2022 @2155 hours. The death certificate shows no autopsy was performed and the death was not reported to the coroner. IB investigator interviewed witnesses and conducted records review and there was no evidence to support R1’s death was caused by R1 being badly beaten. LPA Randle conducted interviews of staff members (S1)-(S4) and support staff (S2-S4).. LPA reviewed documents from the facility. It was alleged that R1 sustained a Questionable death. Reporting party called CCL to report. On February 3, 2023 LPA interviewed Administrator Edna Lacanilao (S1) and support staff (S2-S4). LPA asked S1 if she was aware of the allegation listed above. S1 denied the allegation LPA also met with (S2-S4) all staff denied the allegation as to R1 or any other resident that had been in care. Resident R1 was not available to be interviewed due to death. Based on CDSS Investigations Branch Interviewees and Investigation including LPA’s observation, interviews conducted, and records reviewed, the preponderance of evidence standard has not been met. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated. Allegation #2: Resident sustained injuries while in care. LPA interviewed Administrator Edna Lacanilao (S1) and support staff (S2-S4) regarding allegation Resident sustained injuries while in care. LPA asked S1 if she was aware of the allegation listed above. S1 denied the allegation regarding Resident R1 or any other resident sustaining injuries while in care. LPA interviewed staff (S2-S4) regarding allegation Resident R1 sustained injuries while in care. all staff denied the allegation as to R1 or any other resident in care. LPA interviewed Residents (R2-R4) regarding sustaining injuries while in care. Residents (R2-R4) reported that they have not sustained injuries while in care at this facility. LPA conducted a visual observation of residents no signs of injury or trauma was noted. Based on Investigation including LPA’s observation, interviews conducted, and records reviewed, the preponderance of evidence standard has not been met. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated. Exit interview conducted and a copy of this report was provided.