complaint·October 30, 2024

Continues from LIC 9099 S1 stated R1's catheter was leaking and had to be sent to the hospital. S1 stated staff do not touch the catheter and only nursing staff does it. According to an interview with Staff 2 (S2), S2 remember R1. R1 was observed by S2 cutting R1's own catheter bag. S2 reported R1 would find random items to cut the bag. R1 would do this multiple times and be sent to the hospital each time. S2 reported the last time R1 was sent to the hospital, R1 never came back. According to an interview with Staff 3 (S3), S3 does not remember R1. LPA Valerio interviewed residents. LPA Valerio was unable to find information for R1 to conduct an interview. LPA Valerio interviewed Resident 2 (R2). R2 reported staff being great and had nothing to complain about here. R2 has not observed staff handling residents in a rough manner. According to an interview with Resident 3 (R3), R3 feels their needs are being met at the facility. R3 reported staff being gentle and kind. According to Administrator Unaisi, R1 went to the hospital and never returned to the care facility. The administrator reported she was unaware of where R1 moved and was not informed by the placement agency. Based on all the information collected by the Department there is not a preponderance of evidence to prove the allegation occurred, therefore this allegation is UNSUBSTANTIATED. Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore the allegations are unsubstantiated. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. An exit interview was held with facility staff, and a copy of report was left at the facility with staff Ilaisa Niutabua.