complaint·June 11, 2021

Licensing Program Analyst (LPA) Deborah Mullen conducted an unannounced visit to deliver the findings of the above allegation. LPA met with Agnes Martinez, Administrator. The investigation included a review of R1s facility file and interviews with staff and other witnesses. Due to cognitive abilities resident 1 (R1) was unable to be interviewed. The allegation states staff is abusing resident. Staff 2 (S2) was interviewed and denied ever hitting or punching resident. S2 stated R1 can get agitated and become combative when staff are changing him/her, but again denied ever hitting R1. Staff 1 & 3 (S1 & S3) were interviewed and denied ever hitting or witnessing anyone else hitting R1. Additional witness interviews could not corroborate R1 being hit by S2. LPA attempted to interview R1, however due to speech and cognitive impairments, LPA was unable to conduct a viable interview. Therefore, based on the investigation the allegation that staff are abusing resident is unsubstantiated. 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 at this time. An exit interview was conducted and a copy of this report was reviewed with and provided to Ms. Martinez.