complaint·April 10, 2025

LPA Valerio left a voicemail for a call back. A call back was not received. On 02/25/25, LPA Valerio interviewed R1. R1 stated staff are nice sometimes. When asked to explain how staff treat R1. R1 explained but then expressed R1 was talking about another resident. R1 stated a staff pushed R1 while in the shower. LPA asked who the staff member was, which R1 identified. However, when LPA asked for R1 to clarify who the staff member was R1 could not identify the staff member a second time. On 02/20/2025, LPA Valerio reviewed facility records. LPA Valerio reviewed an Unusual Incident Report dated 07/20/2024. The incident report involved R1. R1 reported that another resident killed 10 people. According to the licensee, the resident has been referred to R1 as R1's best friend and observed to be spending lots of time together. This incident occurred after R1 refused R1's monthly injection. On 02/20/2025, LPA Valerio reviewed daily notes for R1 dated 2023 until current. LPA observed daily notes that discussed other incidents that occurred with R1 and staff; however none indicate that there was an incident that occurred in the shower. Based on all the information collected by the Department, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred, therefore this allegation is UNSUBSTANTIATED. California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. Exit interview was held and a copy of report was left at the facility.